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
_Hard Drinkers._ It was at one time alleged that hard drinkers of
spirituous liquors were not susceptible of the influence of ether or
chloroform, and for a long time there remained an impression that these
persons were difficult to render insensible. I have always found that
hard drinkers were rendered unconscious, and even comatose, by the same
amount of ether or chloroform as other persons; but they sometimes have
a morbid excess of sensibility in the nerves of common sensation, and do
not lie still under the surgeon’s knife except when the nervous centres
are deeply narcotised, and the breathing almost stertorous. On this
account, they sometimes inhale much more chloroform during a protracted
operation than other persons.
AMOUNT OF VAPOUR OF CHLOROFORM ABSORBED TO CAUSE THE VARIOUS DEGREES OF
NARCOTISM.
Before proceeding to describe the mode of administering chloroform, it
is desirable to treat of the quantity of it which produces its different
effects. Without alluding to the facts and experiments which prove that
all narcotics produce their effects by being absorbed into the
circulating fluid, and so reaching the nervous system on which they act,
it is only necessary to mention the following circumstances to show that
this is the case as regards chloroform. In some experiments in which I
assisted Dr. Sibson, we found that the vapour of chloroform produced its
effects after both the pneumogastric nerves had been divided, exactly
the same as before. Chloroform can be detected by means of chemical
tests exhaling in the breath of those who have just previously inhaled
it. It can also be detected in the urine after inhalation, and very
readily in all the tissues of animals that have been killed by it, for
several days after death.
The quantity of chloroform in the blood in the different degrees of
narcotism might be estimated approximatively from the amount used in
inhalation, but I devised some experiments in 1848 for ascertaining the
quantity with accuracy.[52] The experiments were based on the following
circumstances.
When air containing vapour is brought in contact with a liquid, as water
or serum of blood, absorption of the vapour takes place, and continues
till an equilibrium is established; when the quantity of vapour in both
the liquid and air, bears the same relative proportion to the quantity
which would be required to saturate them at the temperature and pressure
to which they are exposed.
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