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
M. Duroy, of Paris, has contrived an ingenious, but very complicated,
apparatus, which he calls an anæsthesimeter. The object of it is to
regulate the amount of chloroform which is inhaled in a given time, and
this can be varied from four to sixty drops in the minute; but the
experiments which I have related show that the quantity of chloroform
employed is not so important as the proportion of it in the inspired
air; and although each of these circumstances has considerable influence
over the other, in many cases there are conditions in which no regular
relation exists between them. For instance, if the inhaler were supplied
with sixty drops of chloroform per minute, these sixty drops weigh
twenty grains, and produce 15·3 cubic inches of vapour; and if an adult
patient were breathing the average quantity of four hundred cubic inches
per minute, the air he would breathe would contain nearly four per cent.
of vapour, which would answer extremely well; but if the breathing were
slow or feeble, or if he should hold his breath for an interval and
commence again, he might breathe air much more highly charged with
vapour. Indeed it would depend on the amount of surface moistened with
chloroform, the temperature of the air, and other physical conditions,
whether or not the air he inhaled might not be charged with chloroform
to a dangerous degree; whilst, on the other hand, if the breathing were
deep and rapid, as often happens whilst the patient is getting slightly
under the influence of the chloroform;—if, for instance, the patient
were to breathe at the rate of 1,600 cubic inches, instead of 400, the
air he would inhale would contain less than one per cent. of vapour, and
he would not become insensible with the utmost supply of the
anæsthesimeter, till his breathing should be moderated. M. Duroy also
follows the rude and objectionable plan of using a nose clasp, and thus
compelling the patient to breathe by the mouth alone.
It is advisable to request the patient to breathe gently and quietly,
when he commences to inhale chloroform; in other words, to do nothing
but conduct himself as if he were about to fall asleep naturally; for,
if he breathes deeply, the vapour feels much more pungent than it
otherwise would do, and is apt to excite coughing, or a feeling of
suffocation.
Public-domain text, read in full here on John Shaqi.
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