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?]
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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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    198 199 20 Cl 201 2U2 203 204 205 206 207 208 Series B. DEATHS UNDER CHLOROFORM. Cases retween I860 and 1891 from Published Records (continued). 2 3 4 6 G 7 8 9 32 w Removal of P. Complete resolution was produced, and the P.M. A small vein Patient had success- tumour at edge first incision had hardly been made when leading into the ex- fully taken chloro- of sterno- the patient was found to be colourless and ternal jugular was form 6 weeks pre- 1 mastoid. without P. or sounds of the heart. In spite found to have been viously. 1 i 1 i i ? of all efforts he died. obliquely opened. The jugular con- tained a long clot segmented by some hubbies of air. Other bubbles ex- isted in the medias- 1 1 1 tinal and post-car- diac veins. The right ventricle contained a notable quantity of air, and some small ecchymoses were the only things remarkable to he ob- 1 served in the lungs. ■?r. K For iridectomy Inhaler with P. Violent struggle began, when P. ouickened Paralysis of fatty for artificial lint. and then became imperceptible; face heart. pupil. 3 (lrs. changed from crimson to livid purple. l’.M. Anterior surface Patient was rolled fin to left side and back of heart covered again. R. (lid not stop but became slial- with layer of fat ; lower. R. aided by artificial R. kept up muscular walls thin, 25 minutes. Interrupted magnetic current pale, soft, flabby. applied over phrenic nerve, and enema of Cavities dilated; brandy and cold water given. Action of right containing heart not restored. Acupuncture between fluid blood, left fifth and sixth ribs also tried. empty. Lungs en- gorged with dark blood. 4 a F For P. &K. Breathing laboured, face livid, P. failed ; Asphyxia—secondary ovariotomy. effort to cough, with discharge of frothy heart failure. bloody mucus. Measures resorted to P.M. Heart : thin were: Drawing out tongue and artilieial walls and flabby; R. (Silvester’s method). These failing, right ventricle di- it was found that metal plate with false latcd containing teeth was impacted in the larynx. This small quantity of was extracted, and artificial R. continued fluid blood ; mitral 40 minutes. Some gasps, but heart and aortic valves 1 1 I failed. slightly altered by deposit; no fatty degeneration. Lungs healthy. Abdomen : enccphaloid cancer of peritoneum with ovarian cancer. 4 8 M Removal of Towel. P. •Jerked head off pillow. On being raised, ? Syncope. Thickset; met with lenses of eyes. More than 1 dr breathing became interrupted and heart’s P.M. Body well injury through ex- action ceased. Measures resorted to were: nourished. Heart: plosion of blasting Pulling forward tongue, cold water hypertrophied and powder. Had taken affusion, galvanism to phrenic nerve by fatty; right cavities CllCly once before Stolirer's battery. Artificial It. for gorged with blood ; for operation on hour. Result, only a few shallow inspira- no valvular lesions. eyes. tious. Lungs emphysema- tous. 19 M For P. Before patient fully under P. ceased. All ? Syncope. phagedenic efforts including galvanism and artificial P.M. Extensive fatty sore. R. of no avail. disease of heart. F P.&R P. and breathing ceased suddenly after a few stertorous Rs. Usual means resorted to, including galvanism whicli “ produced some convulsive efforts of the respiratory muscles,” hut animation not restored. M 1 dr. 1& 1{ After short inhalation a few convulsive Rs. Paralysis of heart. ami then sudden stoppage of heart’s action and breathing. Galvanism, artificial R. and tracheotomy tried without effect. 3< M On jaw-bone. Expired 2 minutes after administration. Paralysis of heart. On hip joint 1 i Breathing became stertorous. Traclieo- by galvano- | ! tomy instantly performed with other cautery. measures, hut all of no avail. Amputation of Patient died on table before operation had Strong and healthy thigh. commenced. looking. 3 F Repair of a bitten-off nose. 1