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 blood in the human adult is estimated by M. Valentin to average
about thirty pounds. M. Valentin’s experiments were so conducted that
this quantity must include the extra vascular liquor sanguinis, as well
as the blood actually contained within the vessels. On this account, his
estimate is all the better fitted for calculating the amount of
chloroform absorbed, since this medicine, when inhaled gradually, passes
by exosmosis through the coats of the bloodvessels into the fluid in
which the tissues are immediately bathed. The above quantity of blood
would contain 26 pounds 5 ounces of serum, which, allowing for its
specific gravity, would measure 410 fluid ounces. This being reduced to
minims, and multiplied by 0·0000614, the proportion of chloroform in the
blood required to produce narcotism to the second degree (see page 68),
gives 12 minims as the whole quantity in the blood. More than this is
used in practice, because a considerable portion is not absorbed, being
thrown out again when it has proceeded no further than the trachea, the
mouth and nostrils, or even the face-piece. But I find that if I put
twelve minims into a bladder containing a little air, and breathe it
over and over again, in the manner of taking nitrous oxide, it suffices
to remove consciousness, producing the second degree of its effects.
To induce the third degree of narcotism, or the condition in which
surgical operations are usually commenced, would require that about 18
minims should be absorbed by an adult of average size and health,
according to the above method of calculation; and to induce the deep
state of insensibility, which I have termed the fourth degree of
narcotism, would require 24 minims; whilst to arrest the function of
respiration would require that about 36 minims should be absorbed.
PREPARATIONS FOR INHALING CHLOROFORM.
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