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
I have rarely seen a decided fit of hysteria from the effects of
chloroform, but in the case of a young married lady, to whom I gave this
agent to prevent the pain of an operation on the rectum, a somewhat
violent paroxysm of hysteria came on directly after the inhalation was
commenced. The surgeon would not permit me to continue the chloroform,
and expressed his intention of operating without it. After waiting for
about half an hour, however, for the hysteria to subside, and finding
that it continued the same as at first, the inhalation was resumed. The
patient was soon rendered insensible, and lay perfectly still whilst the
operation was performed. There was a little hysteria as the effects of
the chloroform subsided, but not so severe as before.
I have several times seen hysterical symptoms in the male, either during
the administration of chloroform, or whilst the patient was recovering
from its effects. But in all these cases, the patients informed me
afterwards that they were subject to hysterics when under the influence
of mental emotion.
In some persons who are subject to hysteria, the breathing becomes
excessively deep and rapid whilst inhaling chloroform. This usually
occurs just as the patient is becoming unconscious, but in a few cases
even earlier, and the patient is aware of the impulse to breathe in this
manner. After this kind of hysterical breathing has lasted a minute, the
patient generally rests nearly a minute without breathing at all, after
which the respiration generally becomes nearly natural. I give the
chloroform very sparingly during this violent breathing, or else
withdraw it altogether for a minute or two.
I do not consider that the hysterical diathesis forms any objection to
the use of chloroform in operations, as the patients would be generally
quite as liable to suffer an attack of hysteria from the pain, if
chloroform were not used.
_Epilepsy._ Chloroform occasionally brings on a fit of epilepsy in
persons who are subject to this disease. It was stated in one of the
foreign medical journals, in 1848, that this agent was so certain to
cause a fit in epileptic persons, that it might be used to detect
impostors pretending to be subject to this disease; but if this
assertion has been acted on, it must have led to great injustice, for I
have many times administered chloroform to the extent of causing
complete insensibility in epileptic patients who required to undergo
operations, without its inducing the least approach to a fit.
Public-domain text, read in full here on John Shaqi.
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