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
Dr. Fairbrother, of Bristol, gave small doses of chloroform by
inhalation, with the best effects, in a case of typhus fever, in the
Bristol Infirmary. The patient was delirious and worn out for want of
sleep, her life being in fact despaired of. She inhaled the chloroform
occasionally for several days, sleep being always procured when it was
applied, and she recovered without any other medicine.[153]
_Hydrocephalus._ I administered chloroform on two occasions, for half an
hour at a time, to a child, seven years old, when delirious and
screaming violently, in this complaint. The child was much relieved by
the inhalation, but it died on the fourteenth day of the disease.
_Tetanus._ I have notes of three cases of tetanus in which I have
administered chloroform. The first was a patient of the late Mr. Keate,
in St. George’s Hospital, in February 1849. It was a girl, fourteen
years old, who had received some severe burns in the face and various
parts of the body, a fortnight previously. Four days before inhaling the
chloroform, she was attacked with symptoms resembling those of chorea,
but for the last two days the complaint was recognised to be tetanus.
There was rigidity of the spine and jaws, and of one arm, which was
flexed. Spasms came on every minute or two, affecting, more
particularly, the head and the arm. I commenced to give chloroform very
gently at four in the afternoon. It prevented the spasm before
consciousness was quite removed. Whenever the spasm offered to return,
the inhalation was repeated with the effect of stopping it. The
chloroform was continued till half-past five, with the effect of keeping
the spasm away; and the patient took some drink during this time, better
than she had done previously. I saw the child again at eight o’clock in
the evening, and found that the spasms had returned soon after I left,
and had continued as before. The chloroform was given again at intervals
for an hour and a half, with the effect of keeping away the spasms, and
inducing sleep; but I found that the child was getting weaker, and would
die even if the spasm was entirely prevented. She died at a quarter past
eight the following morning. There was no inspection of the body.
The next case was a patient of Mr. Propert, a boy, ten years of age, who
had suffered from sloughing of the skin of the inferior extremities. The
tetanus came on during the healing process, whilst the greater part of
both extremities was in a state of ulceration, and covered with healthy
granulations. The patient was in a very irritable and feeble state, and
his pulse was 150 in the minute. He was made insensible, and the
chloroform was repeated twice in the space of half an hour. No
relaxation of the muscles of the jaws was produced, although the effect
of the chloroform was carried as far as seemed safe in such a subject.
He died twelve hours afterwards.
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