The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
Alcohol, chloroform and ether, 3
times.
Alcohol, chloroform and ethyl, 5
times.
The author referred to a number of experiments he had made on frogs, in
which vivisection was made, and the heart exposed and chloroform applied
direct, from which they died in from ten to twenty minutes, and when
bromide of ethyl was used in fifteen to thirty minutes, but when ether
was used, and even much freer than either of the others, they did not
die at all.
In repeated experiments, he said, he had found the use of electricity
unreliable in resuscitating the heart under these circumstances.
After referring to the mortality reports which showed 405 deaths from
chloroform against seventeen from ether, he said: “I feel that every
time I use chloroform as an anæsthetic I am trifling with a dangerous
compound, and that it will only require time and perseverance in its use
until I will share the fate of many others, whose misfortunes ought to
be a timely warning to us against its dangerous effects; and if not
heeded an accident will be all the more inexcusable.”
He condemned the use of so-called “vitalized air” as being an uncertain
and unstable compound: being one of the nitro-oxygen series mixed with
chloroform, its effects were uncertain and often very injurious, which,
he said, “should be reason enough to deter any conscientious physician
from using it or even recommending it.”
For administering anæsthetics the author recommended a clean folded
towel as being more preferable than anything else, as it was just as
efficient and decidedly better from a sanitary standpoint.
He recommended watching the pulse closely while administering
chloroform, and the respirations when ether was administered, lest in
the former the cardiac ganglia become affected and suddenly arrest the
heart's action, or in the latter the nerve cells of the medulla from its
toxic effects abruptly interfere with the breathing.
In closing the author said: “From the brief review of the anæsthetics
most familiar to the profession from a practical standpoint we have
arrived at the following conclusions:”
_First_—Of all general anæsthetics known pure sulphuric ether stands at
the head for safety, efficiency and every day practical use.
_Second_—Hydrochlorate of cocaine stands at the head of all known local
anæsthetics.
_Third_—Ethidene promises to rival ether and merits a more general and
extended trial.
_Fourth_—No surgeon should give any anæsthetics without being prepared
to resuscitate the patient on the shortest possible notice if necessary,
among which preparations nitrite of amyl stands preëminent.
_Fifth_—No person should be entrusted with the administration of any
anæsthetic who is not thoroughly familiar with its physiological action
and practical administration.
Public-domain text, read in full here on John Shaqi.
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