On chloroform and other anæsthetics: their action and administration — John Shaqi
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
A medicine called chloric ether has been in use since 1831. It consists
of a solution of chloroform in spirits of wine. It is somewhat variable
in strength, but usually contains about twelve per cent. of its volume
of chloroform. Dr. Henry Jacob Bigelow of Boston tried this by
inhalation, as well as other substances, when Dr. Morton first used
sulphuric ether, but he did not succeed with it in causing insensibility
to pain. Mr. Jacob Bell of London tried the chloric ether in the
beginning of 1847, and succeeded in causing insensibility with it in
some cases.[34] After this time the chloric ether was exhibited
occasionally in St. Bartholomew’s and the Middlesex hospitals, and in
the private practice of Mr. Lawrence, but it did not come into general
use, owing to its expense, and its frequently failing to cause
insensibility.
The relation of chloroform to chloric ether is exactly the same as that
of opium to laudanum, and no one acquainted with this circumstance could
doubt for a moment that chloroform inhaled alone would produce the
effects which it did when inhaled from its solution in spirit; the only
uncertainty about the matter that could possibly exist would be whether
it might not be too strong for use in its undiluted state.
The true nature of the so-called chloric ether was, however, known to
very few persons. It did not enter into the pharmacopœias, and it was
mentioned in very few of the works on materia medica. I examined a
specimen of it, and found that its properties when inhaled were due to a
volatile body containing chlorine, which evaporated first, leaving a
great quantity of spirits of wine behind. I concluded that the volatile
body was hydrochloric ether, and as this article is so volatile that it
exists in the form of gas except in comparatively cold weather, and
consequently could not be conveniently used for inhalation, I did not
consider the matter any further. M. Flourens had indeed experimented on
animals with undiluted chloroform, but was so struck with its great and
dangerous power, that he was far from recommending its use in surgical
practice.
It was left for Dr. Simpson of Edinburgh, who had already the merit of
having discovered the use of inhalation in midwifery, to be the first to
administer chloroform in an undiluted state, and to recommend it
successfully for general use. Mr. Waldie, of the Apothecaries’ Hall of
Liverpool, first mentioned chloroform to Dr. Simpson, as the latter
states in a foot-note to his first pamphlet on the subject. Mr. Waldie
has given the following account of the circumstance in a pamphlet on
chloroform.[35]
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