On chloroform and other anæsthetics: their action and administrationSnow, John
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On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
The following are the chief reasons for resorting to inhalation.
1. Certain agents, as nitrous oxide and oxygen, being permanently in the
gaseous form, cannot be administered in any other way.
2. By taking advantage of the immense surface of the air-cells of the
lungs for absorption, a more sudden and profound effect may be produced
by medicine than it would be safe, or, in some cases, even possible to
produce in any other way. It is to this circumstance, and to the
rapidity with which certain volatile medicines exhale in the breath, and
leave the patient free from their effects, that the power of preventing
the pain of surgical operations is due.
3. Many medicines which have a disagreeable taste—as turpentine,
creasote, and camphor—are not unpleasant when inhaled in the form of
vapour; and the process of digestion is less interfered with than by
taking them into the stomach.
4. Medicines, such as benzoic acid, and some of the gum-resins, which
are believed to exert a local action on the mucous membrane of the
air-passages, may be expected to have a greater effect when inhaled,
than when they are taken into the stomach in the same doses, and reach
the lungs only through the circulation.
5. Some agents, as chlorine and ammonia, have a local action when
inhaled, which they could not exert if exhibited in any other way.
In every kind of inhalation, the breathing should be allowed to go on
freely, and in the natural way.
Medicines may be inhaled either at the ordinary temperature, or with the
aid of artificial heat; and in the latter case they may be breathed with
the addition of vapour of water, or with only so much of it as is
naturally present in the atmosphere. The medicines in use for the
prevention of severe pain, are always inhaled at the ordinary
temperature.
CHLOROFORM.
Public-domain text, read in full here on John Shaqi.
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