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
I administered chloroform lately to a patient of Mr. Salmon in St.
Mark’s Hospital. He underwent an operation by ligature for prolapsus ani
and hæmorrhoids on March 1st; on March 5th tetanus commenced, and on
March 7th chloroform was administered whilst Mr. Salmon removed some
sloughs from the anus; and it was repeated occasionally afterwards. The
patient was a man, fifty-two years of age; he was the subject of kidney
disease, and the tetanus was extremely severe. He had had four doses,
each containing a fluid drachm of laudanum, between the time when the
tetanus commenced and his inhaling the chloroform. His pupils were
contracted, and he was made insensible by an extremely small quantity of
chloroform. He was, in fact, very much under the influence of opium,
although the spasm of the tetanus prevented his sleeping.
Chloroform affords great relief to the patient affected with tetanus,
and it probably increases the prospect of recovery in cases which are
not too severe and acute.
_Epilepsy._ Dr. Todd at one time had chloroform administered by
inhalation, in King’s College Hospital, to the extent of causing
insensibility, at stated intervals, in cases of epilepsy, and he thought
with advantage. I have frequently administered chloroform for surgical
operations to patients who were subject to epilepsy, and have very
rarely found it produce any approach to a fit.
In July 1850, I administered chloroform to a boy, seven years old, in an
epileptic fit, which had lasted about an hour when the inhalation was
commenced. He had had fits previously, the last of which had occurred a
year before, but none of them had lasted so long as the existing one. He
had eaten nine new potatoes for his dinner, at one o’clock, and the fit
came on about eight. I found the abdomen swollen and very tympanitic.
There was constant convulsive motion of the right arm, and of the neck;
the latter drawing the head to the right side. The mouth was also drawn
to the right at each convulsive motion. The chloroform was given by
putting a few minims at a time on a handkerchief, and holding it to the
mouth and nostrils. It caused immediate cessation of the convulsions
every time it was applied. The convulsions, however, returned again in a
minute or two. In the intervals that he was partially under the
influence of the vapour, he breathed easily without stertor. The
convulsions became gradually less severe, and ceased entirely ten or
fifteen minutes after the commencement of the inhalation.
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