In five deaths from Chloroform, post-mortem examination showed no particular congestion of the head or brain: the lungs were greatly congested in two cases, and more or less so in the other throe. The cavities of the heart were quite empty in two cases, but this might be attributed to other causes; and in both these air was found in the veins.
In Spasmodic Asthma, the inhalation of Chloroform has been successfully employed by Dr. Day, Mr. Beardsall,§ Mr. Chandler,|| and others. A profound sleep generally follows its exhibition. Dr. Todd.¶ who also speaks favourably of its use, advises that it should be administered gradually and cautiously, and not in a full dose, so as to produce profound insensibility, especially if there be any blueness of the surface, or any other symptoms indicating venous congestion. It should always be administered by a medical man, and never by a patient to himself.
R. B. Todd** employed Chloroform in numerous cases with manifest benefit. Other cases successfully treated by it are recorded by Mr. Clifton. Prof. Simpson states that in 200 women whom he delivered under Chloroform, he had not met with a single instance of convulsions; from this it appears that it may in a degree act as a preventive to their occurrence. Testimony to its value in controlling the paroxysms of puerperal convulsions has also been borne by Dr. Murphy, Dr. Braxton Hicks, and others. The administration of Chloroform has been productive of benefit in Eclampsia, even although a temporary albuminous condition of the urine was present. It would, however, be contra-indicated if serious disease of the kidneys were believed to exist.
* Med. Times and Gaz., Sept. 10th, 1859.
On the Misapplication of Anaesthesia in Childbirth, Lond. 1848.
Brit and For. Med. Chir. Rev., April 1849.
§ Lancet, March 31, 1849.
|| Med. Gazette, Nov. 1847. ¶ Ibid. Dec. 1850. ** Ibid. May 11 and 18, 1849. Ibid. vol. xvii. p. 335. Med. Times and Gazette. July 4 , 1863.
Robertson, of Edinburgh; by Mr. Ceeley,* of Aylesbury, and others. It is stated to have met with decided success.
846. In Epilepsy, both during the paroxysm and in the interval, Chloroform has been administered by Dr. Todd; and the general conclusions which he draws are - 1, that the frequent employment of Chloroform does no harm to the brain; 2, that it undoubtedly diminishes the frequency of the fits; and 3, that it exercises a very marked control over the maniacal state.
847. In Laryngismus Stridulus, anaesthesia is occasionally employed with marked benefit In a case related by Mr. Image, Ether inhalation was attended with the best effect. Dr. Reid § also advises its employment.
Wells || found the employment of Chloroform signally beneficial. It was given in a dilute form (1 part of Chloroform and 4 or 6 of Eau de Cologne), at first about half a drachm of this mixture being used three or four times a week, but subsequently it was used in the pure form. It was never given in such quantities as to produce anything like insensibility, but it never failed to afford a very great amount of relief and comfort.