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
“When in Scotland, in October last, Dr. Simpson introduced the subject
to me, inquiring if I knew anything likely to answer. Chloric ether was
mentioned during the conversation; and, being well acquainted with its
composition, and with the volatility, agreeable flavour, and medicinal
properties of the chloroform, I recommended him to try _it_, promising
to prepare some after my return to Liverpool, and to send it to him.
Other engagements and various impediments prevented me from doing this
so soon as I should have wished; and in the meantime Dr. Simpson, having
procured some in Edinburgh, obtained the results which he communicated
to the Medico-Chirurgical Society of Edinburgh on the 10th of November,
and which he published in a pamphlet entitled—‘Notice of a New
Anæsthetic Agent as a Substitute for Sulphuric Ether in Surgery and
Midwifery.’”
Dr. Simpson’s first experiments with chloroform were made in the early
part of November 1847, and his pamphlet on the subject, which was
published on the 15th of that month, had a wide circulation, and created
great interest. Chloroform was immediately used everywhere to a greater
extent than ether had been. An impression became very prevalent that
chloroform was safer than ether. This impression arose rather from the
general tenour of Dr. Simpson’s essay than from any direct statement,
for he had not treated on this point.
The great strength of chloroform as compared with ether, and the extreme
care required in its use, were indeed soon pointed out;[36] these
precautions, however, attracted but little attention till the first
death from chloroform occurred near Newcastle on the 28th January, 1848.
Ether was exhibited by inhalation during eleven months in Europe, and
about sixteen months in America, before chloroform was introduced.
During all this time no death was occasioned by its use, if we except
one at Auxerre in France, which appeared to be occasioned by want of
air, owing to an imperfect inhaler, and not to the effect of ether.
Chloroform had only been employed between two and three months when the
above mentioned death occurred, and this was soon followed by others in
nearly all parts of the world. These accidents have prevented many
persons from inhaling chloroform, and they have prevented a still
greater number from enjoying that freedom from anxiety and apprehension
before an operation, which ought to be one of the greatest advantages of
any plan for preventing pain. As chloroform possesses advantages over
ether, in being more convenient and less disagreeable, it continues to
be used, to the exclusion of the latter agent, in most parts of the
world. In the Massachusetts General Hospital, however, where sulphuric
ether was first employed, it was resumed three or four years ago, and
the use of chloroform was prohibited by the governors, on account of two
accidents from it. Ether is also employed out of the hospital, both in
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