Scientific American Supplement, No. 1157, March 5, 1898Various
Science
Scientific American Supplement, No. 1157, March 5, 1898
Various
Science -- Periodicals
Later he opened his eyes "and seemed to recognize an onlooker." After
this no special supervision was exercised. A hospital porter engaged
in the ward noticed the man was breathing in gasps; this was twenty
minutes after the patient had been taken from the operating theater
and half an hour subsequent to the first administration of the ether.
The surgeons were fetched from the operating theater and found by that
time that the man was dead. "He was lying with his head thrown back,
so that no possible difficulty of breathing could have arisen due to
his position. The eyes were open and the lips slightly parted; nor was
there any sign of any struggle for breath having taken place." The
ether was analyzed and found to fulfill the British Pharmacopoeia
tests for purity. The necropsy revealed that the right heart was
distended with venous fluid blood. The lungs also were loaded with
blood, as were all the viscera. We cannot but feel that the fact shown
at the post mortem examination seemed to indicate that the man died
from asphyxia and not from heart failure. No doubt patients appear to
resume consciousness after an anaesthetic and even mutter
semi-intelligible words and recognize familiar faces. They then sink
into deep sleep just like the stupefaction of the drunken, and in this
condition the tongue falls back and the slightest cause--a little
thick mucus or the dropping of the jaw--will completely prevent
ventilation of the lungs taking place. Two very similar cases occurred
in the practice of a French surgeon, who promptly opened the trachea
and forced air into the lungs, with the result that both patients
survived. In his cases chloroform had been given. A death under
chloroform occurred at the infirmary, Kidderminster. The patient, a
boy, aged eight years and nine months, suffered from a congenital
hernia upon which it became necessary to operate for its radical cure.
The house surgeon, Mr. Oliphant, M.B., C.M. Edin., administered
chloroform from lint. In about eight minutes the breathing ceased, the
operation not having then been commenced. Upon artificial respiration
being adopted the child appeared to rally, but sank almost immediately
and died within two minutes. The necropsy showed no organic disease.
At the inquest the coroner asked Dr. Oliphant whether an inhaler was
not a better means of giving chloroform, and whether that substance
was not the most dangerous of the anaesthetics in common use, and
received the answer that inhalers were not satisfactory for giving
chloroform and that it was a matter of opinion as to which was the
most dangerous anaesthetic. We so often hear that the Scotch schools
never meet with casualties under anaesthetics because they always use
chloroform, and prefer to dispense with any apparatus, that we can
readily accept the replies given to the coroner as representing the
views current among the majority of even the thoughtful alumni of
those great centers of medical training. A glance over the long list
Public-domain text, read in full here on John Shaqi.
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