Chloroform : its action and administration / by Arthur Ernest Sansom.

  • Arthur Ernest Sansom
Date:
[1865]
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Licence: Public Domain Mark

Credit: Chloroform : its action and administration / by Arthur Ernest Sansom. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    to be reraoved the first stage sutBces. The tooth may be extracted before consciousness is obliterated. Thus, Mr. Coleman tells how he extracted his own tooth without any pain while partially under the influence of chloroform.* Patients have been able to exptess ihemselves ready for the performance of the operation, feeling no pain, yet knowing all that is going on. Thus, Mr. E. Beally Lubboekf relates how that he agreed with the operator on a signal whereby he should express himself ready for the extraction of his tooth while he was yet inhaling. lie had a handkerchief in his hand, which he dropped when he considered sensation abolished. The dentist removed the tooth immediately, and no pain was felt. It must be remembered that some apparent expressions of pain may escape the patient, and yet he will subsequently assure us that he has experienced scarcely any disagreeable sensation.J In cases wherein several teeth have to be removed the second stage is required. Before consciousness is lost the patient should be requested to keep the mouth open. The spasmodic rigidity of the jaws is often a difficult}^ in the per- formance of dental operations under chloroform. I have before said that it is never desirable that chlo- roform should be given to such degree that the mus- cles of the jaw be relaxed. If, therefore, the admin- istration be not continued with the mouth sufhciently open, it requires that the jaws be moved apart by force. The simple request to the patient to retain * AniX'Sthesia in Dental Operations. Lecture, f Brit. Med. Jour., March 8, 1SC2. I See p. 55.
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