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
_Age._ The age of the patient has considerable influence in modifying
the effects of chloroform. It acts very favourably on children: they
sometimes oppose the inhalation of it as long as they are conscious, but
it does not occasion the rigidity and struggling after loss of
consciousness, which are sometimes met with in the adult. Anæsthesia is
generally induced with a less amount of narcotism of the nervous centres
in children than in grown up persons. The effects of chloroform are more
quickly produced and also subside more quickly in children than in
adults, owing no doubt to the quicker breathing and circulation. It
often happens, however, that when the insensibility has been kept up for
some time, say twenty minutes or half an hour, in a child, it is
followed by a natural sleep of a few hours duration, provided there is
no painful wound, or other cause, to prevent the sleep. I have given
chloroform in a few cases as early as the ages of eight and ten days,
and in a considerable number before the age of two months; and I have at
this time, June 30th, 1857, memoranda of the cases of 186 infants under
a year old to whom I have administered this agent. There have been no
ill effects from it either in these cases, or in those of children more
advanced in life; and it is worthy of remark that none of the accidents
from chloroform which have been recorded, have occurred to young
children.
There is nothing peculiar in the effects of chloroform on people
advanced in years, except that its influence subsides rather slowly, on
account of the slower breathing and circulation. I have given chloroform
to many patients over seventy-five years of age, and to one as old as
ninety years.
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