Sleep and Its DerangementsHammond, William A. (William Alexander)
Science
Sleep and Its Derangements
Hammond, William A. (William Alexander)
Sleep -- Physiological aspects; Sleep disorders
“Whenever the anæsthetic influence began to subside, the surface of the
brain presented a florid and injected appearance. The hemorrhage
increased, and the force of the pulsation became much greater. At these
times so great was the alternate heaving and bulging of the brain, that we
were compelled to suspend operations until they were quieted by a
repetition of the remedy. Then the pulsations would diminish, the cerebral
surface recede within the opening of the skull, as if by collapse; the
appearance of the organ becoming pale and shrunken with a cessation of the
bleeding. In fact, we were convinced that diminished vascularity of the
brain was an invariable result of the impression of chloroform or ether.
The changes above alluded to recurred sufficiently often, during the
progress of the operation, in connection with the anæsthetic treatment, to
satisfy us that there could be no mistake as to the cause and effect.”
It will be shown, in the course of the present memoir, that Dr. Brown’s
conclusions, though in the main correct, are erroneous so far as they
relate to the effect of chloroform upon the cerebral circulation; nor
does it appear that he employed this agent unmixed with ether, in the case
which he has recorded so well. He has, probably, based his remarks on this
point upon the phenomena observed when the compound of ether and
chloroform was used--the action of pure chloroform, as regards its effect
upon the quantity of blood circulating through the brain, being the
reverse of that which he claims for it.
But the most philosophical and most carefully digested memoir upon the
proximate cause of sleep, which has yet been published, is that of Mr.
Durham.[23] Although my own experiments in the same direction, and which
will be hereafter detailed, were of prior date, I cheerfully yield all the
honor which may attach to the determination of the question under
consideration to this gentleman, who has not only worked it out
independently, but has anticipated me several years in the publication,
besides carrying his researches to a much further point than my own
extended.
Public-domain text, read in full here on John Shaqi.
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