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
A considerable amount of caloric becomes latent during the evaporation
of chloroform, and the temperature of the vapour and air which the
patient breathes are generally reduced a good deal, but not to the same
extent as during the inhalation of ether. In giving chloroform from a
small sponge which had been squeezed out of water, I have sometimes
observed, after laying it down, that it became covered with a kind of
hoar frost; the minute particles of frozen water having a slight taste
of chloroform. The cold produced by the evaporation of a liquid like
chloroform is often the means of checking the evaporation to a certain
extent, and limiting the amount of vapour which is taken up by the air.
PHYSIOLOGICAL EFFECTS OF CHLOROFORM.
Chloroform belongs to the large class of medicines known as
narcotico-irritants. This and some other agents which have been inhaled
for the prevention of pain are often called anæsthetics; a name to which
there is no objection, so long as it does not lead to the idea that they
have a different action from other narcotics, or more precisely
speaking, narcotico-irritants; there being no such medicines as pure
narcotics. The term anæsthesia has been frequently employed to designate
the insensibility and suspension of consciousness caused by chloroform
and ether; but, in describing the effects of these agents, I shall
confine this term to its original meaning, privation of feeling, and I
shall employ the term narcotism to designate the entire effects of these
agents on the nervous system. This is the sense in which the term
narcotism has always been employed. It has been the custom, however, to
restrict the use of the word very much to cases in which stupor existed,
but I shall apply it to designate the slighter, as well as the more
profound effects of a narcotic, as I am entitled to do by strict
etymology.
In order to facilitate the description of the effects of chloroform, I
have been in the habit of dividing them into degrees. I use the term
degree in preference to stage, as, in administering chloroform, the
slighter degrees of narcotism occur in the later stages of the process,
during the recovery of the patient, as well as in the beginning. The
division into degrees is made according to symptoms, which, I believe,
depend entirely on the state of the nervous centres, and not according
to the amount of anæsthesia, which there is good reason to conclude,
depends, in a great measure, on the local action of the chloroform on
the nerves. The different degrees of narcotism glide insensibly into
each other.
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