The Lancet and the Hyderabad Commissions on Chloroform : being the report of the Lancet commission appointed to investigate the subject of the administration of chloroform and other anæsthetics from a clinical standpoint, together with the reports of the first and second Hyderabad Chloroform Commissions.

  • Lancet Commission on Chloroform.
Date:
[1896?]
Catalogue details

Licence: Public Domain Mark

Credit: The Lancet and the Hyderabad Commissions on Chloroform : being the report of the Lancet commission appointed to investigate the subject of the administration of chloroform and other anæsthetics from a clinical standpoint, together with the reports of the first and second Hyderabad Chloroform Commissions. Source: Wellcome Collection.

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    Series B. DEATHS UNDER CHLOROFORM. Oases between 1860 and 1891 prom Published Records (continued,). 1 2 3 4 5 6 7 8 9 Reference. <D tC C 3 m Operation and duration of administration. Method of administration. P. or R. Symptoms occurring under amesthetic. Assigned cause of death. Remarks. 121 30 M For diseased On lint. When only partially under influence of ? Syncope. No symptoms during bone. 1 dr. anaesthetic, death suddenly took place. P.M. Degeneration of life of cardiac disease Every means for resuscitation used with- muscular fibre of or clue to cause of out avail. Tongue drawn forward ; arti- heart, endocarditis heart disease. flcial R. ; galvanic battery over heart and neck and diaphragm. Artificial R. for h hour. Right jugular vein also opened. shown by roughen- ing of mitral and aortic valves. Gene- ral congestion of viscera. 122 21 M Reduction of dislocated hip (20 minutes). 2 dr. P. P. failed and patient died immediately. Syncope. 123 F Extraction of Sitting posture. teeth. 124 14 M For necrosis p.& r. Operation was commenced when patient Syncope. of tibia. was seized with vomiting'. Breathing- P.M. appearances nil, ceased and P. became impercept ible. Usual except enlarged measures taken for resuscitation. liver. 123 26 M Insertion of 0 i lint. p. & p. It. ceased. Face pale at first and shortly be- Syncope. The commencing fatty drainage tube 1 dr. came livid. Artificial R. (Silvester’s P.M. Lungs dark red degeneration of heart in thigh for method), tongue pulled forward, and and large bronchial sufficient to account disease of neck battery. tubes full of thin fro- for chloroform being of femur. thy fluid. No clot in pulmonary arteries ; heart large, with only shred of de- colourised clot in left ventricle. Wall of left ventricle fatal. thicker than natural and cavities gene- rally large. Heart 14oz. Bits of wall of left ventricle showed granular degeneration ; striae obliterated. Endocarditis on aortic valves. 126 68 M Amputation of 1 dr. p. Suddenly became rigid and P. stopped. ? Syncope. foot. (about). Every exertion made for restoration ; arti- ficial R. for f hour with no avail. 127 42 M To quiet 1*. After few inspirations P. ceased. Artificial ? Syncope. tetanic spasms R. and drawing- out tongue resorted to. after fracture Soon circulation and R. restored ; hut after of both leg's. being put to bed R. ceased and life became extinct. 128 22 F Ovariotomy. On towel. Patient vomited suddenly and profusely. ? Inhalation of chlo- Patient tliin and ema- Immediately eyes opened, pupils ureter- roform causing syn- dated. naturally dilated, face became pallid and cope: but in this R. affected. Measures adopted were: Arti- case great doubt as ficial R. and pulling- forward of tongue. to whether syncope Dee)) spontaneous R. several times in sue- was not caused by cession, but death followed on a second operation itself (see collapse. L. 25 Feb. 1870, pp. 297-299). P.M. No diseased con- ditions in head or chest, or elsewhere. Ovarian tumour free from peritoneal ad- hesions. 129 F For opening of 3 dr. whitlow. 130 F Removal of (1) Coil of Suddenly tainted, and despite all efforts Direct poisoning of epithelioma of paper ; made for a long time never breathed nervous centres by tongue. (2) napkin. again. CHC13. 131 6 F For convergent 2 dr. Operation performed while patient not fully strabismus of under CHClj. Patient was restless; left eye. shortly after operation ceased breathing. All efforts to restore R. futile. 132 M Amputation of p. P. became weak ; R. ceased, and after one or P.M. Blood very forearm. two respiratory efforts patient died. fluid ; right auricle and right ventricle enormously disten- ded ; advanced fatty degeneration of heart.