On chloroform and other anæsthetics: their action and administrationSnow, John
History
On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
Peter Marshall. The membranes had
been previously ruptured. I administered chloroform, also for Mr.
Marshall, in a case where the hand was presenting below the head; he
raised it above the head, and as it did not come down again when the
pains returned, the labour was allowed to pursue its natural course, and
terminated favourably in two or three hours, the child being alive. The
chloroform was not continued after the operation was performed. The
remaining case of turning was performed by Mr. Tegart, of Jermyn Street.
I was in attendance with him from an early stage in the labour, and the
operation was performed before the membranes were ruptured.
I administered chloroform, in 1849, in a case in which Dr. Murphy had to
make an artificial os uteri. The patient was, of course, made quite
insensible as for any other surgical operation; and the vapour was
continued afterwards in a modified degree till the labour was completed.
On December 26th, 1850, I was requested by Mr. Cooper, of Moor Street,
Soho, to assist him in a case of retention of the placenta. The patient
had given birth to a child two hours before, and Mr. Cooper had
introduced his hand, but had been unable to bring away the placenta, on
account of firm contraction of the uterus in a sort of hour-glass form.
On the chloroform being administered, the hand was easily introduced,
and the placenta detached, and extracted. There was very little
hæmorrhage.
In some of the many cases at which I have met Dr. Cape, premature labour
was induced about the eighth month of utero-gestation, by rupturing the
membranes, on account of deformity of the pelvis.
In a case attended by Mr. Cantis, the patient was suffering from
osteo-sarcoma of the bones about the shoulder. Dr. Ferguson was present
during the latter part of the labour. The lady lived a few weeks after
her confinement.
A patient, attended in her confinement by Mr. Colambell of Lambeth, in
1853, to whom I gave chloroform, had been long under the care of Dr.
Williams with cavities in the lungs. I heard very lately that she was
still living.
A patient of Mr. Robert Dunn, to whom I gave chloroform in her
confinement, was at the time in a state of insanity.
In one of the patients whom I have attended with Dr. Arthur Farre, there
was separation of the recti muscles of the abdomen; which there is no
doubt must have taken place gradually during pregnancy. The patient was
but twenty years of age, and in her first labour. Quite early in the
labour, before the pains were at all strong, Dr. Farre and I observed
that the abdomen was of a peculiar form, the uterus projecting very much
forwards, whilst there was a slackness in the flanks. The abdominal
muscles did not assist the pains at all; and it was probably from this
cause that the labour progressed slowly and was terminated at last with
the forceps. The recti muscles recovered their position by careful
bandaging.
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