NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
368
In this case after the patient had been removed one of the most intelligent
students was made to describe from memory what had happened during the
administration. He could only recall very imperfectly and inaccurately what
he had seen a few minutes before. For example, he was under the impression
that full anæsthesia had been produced in four minutes instead of six. The
experiment was repeated in every case subsequently, with the result that,
though the by-standers were always warned to pay particular attention with
a view to giving evidence afterwards, in no single instance could the witness
give anything like an accurate description of what occurred during the admi-
nistration of the anæsthetic. The fact that it is extraordinarily difficult to
remember precisely what takes place when every thing is normal during an
administration, shows how entirely unreliable and worthless statements made
from memory by " the competent witnesses who have recorded human deaths
under anæsthesia"* must be, when they are obscured by the shock of a patient
dying, and by the excitement of frantic efforts to restore animation.
August 26th, 1891.—No. 287.
Temperature of room 77 . 7º F. Sickly Hindoo male, Gowkari, ætat. 22.
Disease—abscess. Operation—incision. Chloroformed at the Afzulgunj Hos-
pital by student Krishtiali at 8h. 58m. 10s. Full anæsthesia at 9h. 5m. 55s.
Continued until 9h. 8m. 35s.
Observations.
II. M.
S .
A. 8 58 10.—Chloroform on cap : blowing gently, 32 times a
minute.
B. 8 59 20.—Cap brought close to face.
C. 9
0 10.—Holding breath ; cap entirely removed.
D. 9
0 30.—Gasped pure air ; cap re-applied.
E. 9
1
0.—Regular breathing, 24 a minute.
F. 9
1 20.—While more chloroform was being poured on cap
took two breaths of fresh air.
G. 9
2 45.—Regular breathing, 24 a minute.
H. 9
3 20.—While more chloroform was being added. took three
breaths of fresh air.
I.
9
3 25.—Noisy expiration.
J. 9
3 45.—Raising arms.
* Vide Professor Wood's Address on Auæsthesia—page 263.
369
H.
M.
S.
K.
9
4
30.
—Irregular breathing ; one breath of fresh air.
L.
9
5
0 .
—Struggling. Regular breathing.
M. 9
5
15.
—Talking incoherently.
N.
9
5
5 5 .
—Cornea insensitive ; chloroform stopped ; continued
afterwards till. 9h. 35m. 0s.
August 27th 1891.—No. 288.
Temperature of room 74.5° F. Delicate Mahomedan female, Hoossain
Bee, ætat. 30. Disease—abscess. Operation—incision. Chloroformed at the
Afzulgunj Hospital by student Krishtiah at 8h. 25m. 0s. Full anæsthesia at
8h. 34m. 30s. Continued until 8h. 38m. 50s.
Observations.
H. M.
S.
A.
8
25
0 .
—Chlorofrom on cap ; breathing regularly, 32 times
a minute.
B.
8
26
0 .
—Cap brought cl ose t o face.
C.
8
27
0 .
—One breath of fresh air.
D.
8
2 8
1 0 .
—Whi l e mor e chl or of or m was bei ng added, t ook t wo
breaths of pure air.
E . 8 28
3 0 .
—Breathing regular, 32 a minute.
F.
8
31
1 0 .
—Holding, breath ; cap entirely removed.
G .
8
3 1
2 0 .
—Gasped fresh air ; regular breathing.
II.
8
31
5 0 .
—Snoring ; while more chloroform was being added
took one breath of fresh air.
I.
8
33
3 5 .
—Noisy expiration.
J .
8
3 4
3 0 .
—Cornea insensitive ; stopped chloroform ; c
ontinued afterwards until
the operation was finished at
8h. 38m. 50s.
August 27th, 1891.—No. 289.
Temperature of room 74.5° F. Healthy Hindoo boy. Jutta Shunker, ætat.
14. Disease—cleft ear. Operation—plastic operation. Chloroformed at the
Afzulgunj Hospital by student Krishtiah at 8h. 50m. 30s. Anæsthesia
complete at 8h. 57m. 15s. ; continued until. 9h. 1m. 30s.
47
370
Observations.
H M.
S.
A.
8 50 30. —Chloroform on cap ; regular breathing, 34 in a minute.
B.
1 51 30.
—Cap brought close to face ; regular breathing. 24 in
a minute.
C.
8 52 40. —While more chloroform was being added, took two
breaths of pure air.
D.
8 53 5. —Moved left leg.
E.
8 54 0.
—While more chloroform was being poured on cap.
took three breaths of pure air.
F.
8 54 10. —Retching.
G . 8 54 45. —Vomiting food ; cap removed.
H . 8 55 25. —Chloroformed again.
I.
8 55 35. —Struggling; one breath of pure air.
J.
8 56
0. —Regular respirations, 28 in a minute.
K.
8 57
15.
—Cornea insensitive ; stopped chloroform ; continued
afterwards until the operation was finished at
9h. 1m. 30s.
August 27th. 1891.—No. 290.
Temperature of room 78.3° F. Weakly Hindoo male. Nanuklan, ætat. 30.
Disease—cystitis. Operation—catheterism. Chloroformed by student Krishtiah
at 9h. 14m. 50s. Full anæsthesia at 9h. 18m. 15s. The breathing became
stertorous 45 seconds after the chloroform cap had been removed, and the
inhalation had been discontinued on account of the cornea being insensitive.
Vomited a small quantity of mucus and bile at 9h. 24m. 0s. Before the
administration was commenced the patient was in great terror of having a
catheter passed and resisted violently before chloroform was given.
Observations.
H M. S.
A.
9 14
5 0 .
—Chloroform on cap ; blowing noisily through the
closed lips.
B. 9 16
0 .
—Noisy expiration.
371
H. M. S.
C.
9 16
1 5 .
—Cap close to face.
D.
9 17
0 . —Holding breath. Cap removed.
E.
9 17
1 0 .
—One breath of fresh air. Chloroform again.
F.
9 17
3 0 . —Noisv expiration.
G.
9 18
1 5 . —Cornea insensitive ; chloroform stopped.
H. 9 19
0 .
—Breathing stertorous. No chloroform was administered
after 9h. 18m. 15s.
This is another example of anæsthesia deepening after stoppage of the
administration owing to the absorption of residual chloroform in the lungs.
Vide
Experiment No. 64, page 53).
August 27th. 1891.—No. 291.
Temperature of room 78.3° F. Weakly Mahomedan male, Syed Jalaluddin,
ætat. 28. Disease—abscess. Operation—ineision. Chloroformed by student
Mahomed Abdul. Ganni at 10h. 1m. 40s. Full anæsthesia at 10h. 7m. 50s.
Administration stopped 10h. 12m. 15s.
Observations.
H.
M. S.
A.
10
1
5 0 .
—Chloroform on cap ; regular breathing, 36 a minute.
B.
10
2
4 5 .
—Cap close to the face, slight struggle, not
breathing regularly.
C.
10
4
0 .
—Regular breathing. 24 per minute.
D.
10
5
2 5 .
—Noisy expiration.
E.
10
5
3 0 .
—Took two breaths of fresh air, while more chloroform
was poured on to the cap.
F.
10
5
4 5 .
—Noisy expiration.
G. 10
5
5 5 .
—Snoring.
H. 10
6
0
—Cap removed, chloroformist unnecessarily alarmed
about the breathing Which was quite regular.
I.
10
6
1 5 .
—Administration continued ; regular breathing.
J.
10
7
2 5 .
—Snoring.
K . 10
9
3 0 .
—Cornea insensitive ; administration afterwards con-
tinued till 10h. 12m. 15s.
372
August 28th, 1891.—No. 292.
Temperature of room 74.2° F. Unhealthy feverish Hindoo, Ramiah, ætat.
30. Disease—suppurating hydrocele. Operation—incision. Chloroformed at the
Afzulgunj Hospital by student krishtiah at 8h. 33m. 50s. Anæsthesia complete
at 8h. 39m. 30s. ; continued until 8h. 43m. 50s.
Observations.
H. M. S.
A.
8 33 50.
— C h l o r o f o r m o n c a p ; r a p i d b l o w i n g , 4 4 a m i n u t e ,
B.
8
3 4 50.
—Cap brought close to the face.
C.
8 35 0.
—Apnœa ; cap entirely removed.
D.
8 35
20.
—One breath of fresh air; regular breathing. Chloro
-
form again.
E.
8
36 40.
—While more
chloroform was being added took
three
breaths of fresh air.
F.
8 37 20.
—Regular rapid breathing. 40 a minute.
G.
8 37 40.
—Struggling ; regular breathing,
H.
8 37 50.
—One breat h of fresh ai r ; st opped st ruggl i ng.
I.
8 38
30.
—While more chloroform was added took five breaths of
fresh air.
J.
8
3 9 0.
—Noisy expiration and struggling.
K.
8 39 20. —Stertorous breathing. Chloroform stopped.
Continued
afterwards till 8h. 43m. 50s.
Vomited bile.
T e m -
perature 102° F. in the mouth before the operation.
A u g u s t 2 8 t h . 1 8 9 1 . — N o . 2 9 3 .
Temperature of room 74.2° F. Very weak and emaciated Mahomedan male. Mahomed Bekan Khan. ætat. 76. Disease—senile gangreen of the foot.
Operation—partial amputation. Chloroformed at the Afzulgunj Hospital.
bv student Krishtiah at 9h. 0m. 0s. Anæsthesia complete at 9h. 4m. 30s.; con
-
tinued until 9h. 8m. 30s.
H.
M.
S.
A.
9
0
0. —Chloroform on cap.
B.
9
0
4 0 .
—Rapid respirations, 40 a minute.
C.
9
1
5.
—While more
chloroform was being poured into the
cap took 2 breaths of pure air.
373
H.
M.
S.
D.
9
1
3 5 .
—Struggling. One breath of fresh air.
E.
9
2
3 5 .
—Talking.
F.
9
3
5.
—Whi l e more chl oroform was bei ng poured on t o t he
cap, took two breaths of fresh air.
G.
9
4
3 0 .
—Stertorous breathing. Chloroform was afterwards
continued until the operation was completed at
9h. 8m. 30s.
August 28th, 1891.—No. 294.
Temperature of room 78.7° F. Weakly Hindoo male, Avayah. ætat. 30.
Disease—abscess. Operation—incision, Chloroformed at the
Afzulgunj Hos-
pital by student Krishtiah at 9h. 18m. Os. Anæsthesia complete at 9h. 25m. 20s.
and continued until 9h. 29m. 15s.
Observations.
H.
M.
s.
A.
9
18
0.
—Chloroform on cap; respirations 28 per minute.
B.
9
19
1 0 .
—Cap brought close to the face.
C.
9
19
2 5 .
—Regular breathing, 36 per minute.
D.
9
19
3 5 .
—Whi l e more chl oroform was bei ng poured i nt o t he
cap, two breaths of pure air were taken.
E.
9
20
3 5 .
—Regular breathing, 17 per minute.
F.
9
2 1
10. —Raising his legs .
One breath of fresh air.
G.
9
21
4 0 .
—Whi l e more chl oroform was bei ng poured i nt o t he
cap, two breaths of pure air were taken.
H.
9
22
2 0 . —Struggling; regular breathing.
I.
9
23
2 5 .
—Whi l e more chl oroform was bei ng poured i nt o t he
cap, three breaths of pure air were taken.
J.
9
24
0. —Moaning.
K.
9
25
0. —Snoring.
L.
9
25
20.
— C o r n e a i n s e n s i t i v e . S t o p p e d c h l o r o f o r m . T h e a d m i n i s
-
tration was afterwards continued until 9h. 29m. 15s.
374
August 28th, 1891—No. 295.
Temperature of room 78.7° F. Young healthy Mahomedan male, Hussain
Khan. ætat. 30. Disease—abscess. Operation—incision. Chloroformed at the
Afzulgunj Hospital by Lady Superintendent Miss E. A. Lawrie at 9h. 44m. Os.
Anæsthesia complete at 9h. 47m. 55s. Continued until 9h. 50m. 30s.
H.
M. S.
A.
9 44
0. —Chloroform on cap ; blowing quickly, 30 times a minute.
B.
9 46 0.
—While more chloroform was being poured into the cap,
took three breaths of pure air.
C.
9 46
45. —Regular breathing, 24 a minute.
D.
9 47 5. —Snoring.
E.
9 47 30.
—Deep snoring.
F.
9 47 50. —Stertor ; stopped chloroform.
G .
9 48
0.
—Cornea insensitive.
Administration was kept up until
9h. 50m. 30s.
August 29th. 1891.—No. 296.
Temperature of room 74.2º F. Strumous Mahomedan child, Morad
Sahib
ætat. 4. Disease—sinus. Operation—incision. Chloroformed at the Afzulgunj
Hospital at 8h. 29m. 0s. by Miss E. A. Lawrie. Full anæsthesia at 8h. 31m. 30s.;
continued until 8h. 37m. 5s.
A.
H . M. S.
Chloroform on cap ; crying but breathing regularly.
8 29
0 .
B.
8 29
5 5 .
—Cap close to face ; regular respirations, 24 a minute.
C.
8 30
4 5 .
—Coughing.
D.
8 31
1 0 .
—Noisy expiration.
E.
8 31
3 0 .
—Cornea insensitive and breathing stertorous simulta
-
neously. Stop chloroform ; afterwards adminis
-
tration kept up till 8h. 37m. 5s.
375
August 20th, 1891.—No. 297.
Temperature of room 74.7° F. Sickly Mahomedan male, Peer Mahomed,
ætat. 40. Chloroformed at the Afzulgunj Hospital at 8h. 41m. 20s. by Miss
E. A. Lawrie. Full anæsthesia at 8h. 45m. 25s. Continued until 8h. 46m. 30s.
O b s e r v a t i o n s .
H. M.
S.
A.
8
41 20.
—Chloroform on cap; blowing regularly.
B.
8
42
0.
—-Regular breathing; twenty-eight times in a minute.
C.
8 42
40.
—Holding breath; cap entirely removed.
D.
8 42
50.
—Gasped fresh air; cap brought close again.
E.
8 43
0.
—Irregular breathing.
F.
8 43 30.
—While more chloroform was being poured into the cap.
took three breaths of pure air.
G.
8
43
50.
—Irregular breathing; one breath of pure air.
H.
8 44 30.
Regular breathing; 26 respirations in a minute.
I .
8 44 50.—Struggling; one breath of pure air.
J.
8 45
5.
—Noisy expiration.
K.
8
4 5 25.
—Stertorous breathing; stopped chloroform.
L.
8 45 28.
—Cornea insensitive. Administration continued after
-
wards until 8h. 46m. 30s.
August 29th, 1891.—No. 298.
Temperature of room 74.7° F. Delicate Hindoo child, Nagamah, ætat. 6.
Disease—abscess. Operation—incision. Chloroformed at Afzulgunj Hospital
at 8h. 52m. 10s. by Miss E. A. Lawrie. Full anæsthesia at 8h. 53m. 5s. Co
n -
tinued until 8h. 59m. 30s.
O b s e r v a t i o n s .
H.
M.
S.
A.
8 52
1 0 .
—Chloroform on cap; breathing regular.
B.
8 52
4 5 .
—Cap close; regular respirations, 28 in a minute.
C.
8 53
5.
—Cornea insensitive. Chloroform stopped, and afterwards
continued until 8h. 59m. 30s.
376
August 29th, 1891.—No. 299.
Temperature of room 74.7° F. Unhealthy Hindoo male, Jumnadas, ætat. 30.
Disease—abscess. Operation—incision. Chloroformed at the Afzulgunj
Hospital by Surgeon-Major Lawrie at 9h. 33m. 5s. Anæsthesia complete at 9h.
35m. 45s., and continued until 9h. 37m. 30s.
Observations.
H.
M. S.
A. 9 33
5 .
—Chl or of or m on cap; r egul ar r espi r at i ons, 36 a mi nut e.
B . 9 33 15. —Cap brought close to face. Regular breathing.
C. 9 33
3 0 .
—Noisy expiration.
D. 9 34
5 .
—Talking.
E. 9 34
2 5 .
—While more chloroform was being poured on to the cap
two breaths of pure air were taken.
F. 9 35
5 .
—Violent struggling; regular breathing.
G . 9 35
3 0 .
—Noisy expiration.
H . 9 35
4 5 .
—Cornea insensitive. Stopped chloroform. Chloroform
afterwards administered until 9h. 37m. 30s.
Chloroform was administered in Case No. 299 by the surgeon. The
students were becoming timid, in consequence, it was supposed, of the
weekly reports of deaths under anæsthetics in the English medical journals;
and were taking from six to eight minutes to produce anæsthesia instead of
f r o m t h r e e t o f i v e . I n Ca s e No . 2 9 9 . f u l l a n æs t h e s i a wa s p r o d u c e d , wi t h r e g u l a r
breathing throughout the administration, in two minutes and forty seconds.
Dr. Lawrie afterwards said, "I never wish you to give chloroform against
time, but, provided the respiration is normal, there is nothing to be gained by
slow anæsthesia. If the breathing is regular you need not be anxious about
the patient, as no danger can arise before anæsthesia is complete, whether the
chloroform is administered slowly or quickly. Until the stage of complete
narcosis is reached therefore your anxiety should be to make the patient breathe
regularly while he inhales the anæsthetic, and you should not allow him to
inhale any chloroform when the breathing is irregular. Beyond this you need
have no anxieties whatever."
378
August 31st, 1891.—No. 302.
Temperature of room 75.8° F. Healthy Mahomedan male, Mahomed
Karimoolla, ætat. 22. Disease—Fibroid tumour of scrotum. Operation—excision.
Chloroformed at the Afzulgunj Hospital by Shivram Balkristna (his first
administration) at 7h. 51m. 45s. Full anæsthesia at 7h. 57m. 53s; continued
until 8h. 8m. 45s.
H. M. S.
A.
7 51
4 5 . —Chloroform on cap; blowing hard, 40 times a minute.
B.
7 52 10.
—Cap brought close to face.
C.
7 52
2 0 .
—Apnœa; cap entirely removed.
D.
7 52
3 5 . —One breath of pure air. Cap re-applied.
E.
7 52
5 5 . —Regular respirations, 20 a minute.
F.
7 53
2 5 .
—While more chloroform was being poured on to the
cap, took three breaths of pure air.
G.
7 53
5 5 . —Regular respirations, 24 a minute.
H . 7 55
0. —Moaning.
I . 7 55
5 5 . —While more chloroform was being poured on to the cap,
took four breaths of pure air.
J.
7 56
3 0 .
—Snoring.
K.
7 57
5 0 .
—While more chloroform was being poured on to the cap,
took two breaths of pure air.
The cap was not re-applied till later as, while the chloroform was being
renewed, and before any more was inhaled, the cornea became insensitive
and the breathing stertorous.
August 31st, 1891.—No. 303.
Temperature of room 75.8° F. Thin Mahomedan male child, Fakeer
Mahomed, ætat. 5. Disease—stone in the bladder. Operation—lateral lithotomy.
Chloroformed at the Afzulgunj Hospital at 8h. 31m. 15s., by student Shivram
Balkristna. Full anæsthesia at 8h. 33m. 45s. Continued until 8h. 44m. 30s.
379
Observations.
H . M . S .
A. 8 31 15.—Chloroform on cap ; regular crying respirations, 36 a
minute.
B. 8 31 50.—Still crying ; breathing irregular. One breath of pure air.
C. 8 31 55.—Cap brought close to face ; respirations 32, regular.
D. 8 32 50.—While more chloroform was being poured on to the cap,
took five breaths of pure air.
E. 8 33 0.—Regular breathing.
F. 8 33 45.—Cornea insensitive ; stop chloroform. The administra
- t i o n w a s a f t e r w a r d s c o n t i n u e d u n t i l t h e d r e s s i n g
was completed at 8h. 44m. 30s.
August 31st, 1891.—No. 304.
Temperature of room 75.8° F. Emaciated Mahomedan male. Peer Mahomed.
ætat. 46. Disease-stricture of the urethra. Operation—Holt's dilatation
of the stricture. Chloroformed at the A fzulgunj Hospital at 8h. 50m. 45s. by
student Shivram Balkristna. Full anæsthesia at 8h. 54m. 30s., continued
till 8h. 55m. 30s.
Obsercations.
H .
M . S .
A. 8 50 45.—Chloroform on cap ; rapid blowing. 44 times a minute.
B. 8 51 10.—Cap brought close to face.
C. 8 52 15.—Regular respirations, 20 a minute.
D. 8 53 5.—Moving arms and legs.
E. 8 53 25.—While more chloroform was being poured on to the
cap, took three breaths of pure air.
F. 8 53 55.—Irregular breathing ; one breath of pure air.
G. 8 54 20.—Noisy expiration.
H. 8 54 30.—Cornea insensitive. Stopped chloroform.
August 31st, 1891.—N0. 305.
Temperature of room 81 . 7° F. Sickly Hindoo male, ætat. 48. Disease
—abscess. Operation—incision. Chloroformed at the Afzulgunj Hospital at
9h. 4m. 10s. by Miss E. A. Lawrie. Full anæsthesia at 9h. 7m. 30s. Continued
until 9h. 10m. 30s.
380
Obserrations.
H.
M.
S.
A. 9 4 10.—Chloroform on cap ; breathing regular, 32 times a
minute.
B. 9 4 55.—Cap brought close to face.
C. 9 4 55.—Struggling ; one breath of pure air.
D. 9 5 50.— Do. do. do.
E. 9 6 10.—Regular respirations, 20 in a minute.
F. 9 6 45. —Whi l e mor e c hl or of or m wa s a dde d t o t he c a p,
took four breaths of pure air.
G. 9 7
0.—Regular respirations, 24 a minute.
H. 9 7 20.—Noisy expiration and moaning.
I . 9 7 30. —Cor nea i ns ens i t i ve ; chl or of or m s t opped, and
after-wards continued until the dressings were applied.
A u g u s t 3 1 s t , 1 8 9 1 . — N o . 3 0 6 .
Temperature of room 81.7° F. Sickly Mahomedan male, Mahomed Ismael.
ætat . 51. Disease—cellulitis. Operation—incisions, Chloroformed at the
Afzulgunj Hospital at 9h. 17m. 30s. by Miss E. A. Lawrie. Full anæsthesia
at 9h. 23m. 0s ; continued till 9h. 27m. 30s.
Obserrations.
H . M . s .
A. 9 17 30.—Chloroform on cap ; rapid regular breathing, 40
in a minute.
B. 9 19 50.—Regular breathing. 20 in a minute.
C. 9 20 5.—Coughing.
D. 9 20 40.—While more chloroform was being added to the cap.
took four breaths of pure air.
E. 9 21 10.—Noisy expiration.
F. 9 21 25.—Violent struggling. Regular breathin g .
G. 9 21 45.—One breath of pure air.
H. 9 22 15. —St r uggl i ng ; r e gul a r br e a t hi ng.
I. 9 22 45.—Snoring.
J. 9 23 0.—Cornea insensitive. Stopped chloroform. Continued
afterwards until 9h. 27m. 30s.
381
September, 1st. 1891—No. 307.
Temperature of room 76.5° F. Sickly Hindoo male, Boochaya, ætat. 32.
Disease—granular lids. Operation—division of the tarsal cartilages. Chloro-
-formed at the Afzulgunj Hospital at 7h. 53m. 50s. by Miss E. A. Lawrie.
Full anæsthesia at 7h, 59m. 25s., kept up until 8h. 1m. 5s. without more
chloroform.
Observations.
H. M.
s.
A. 7 53 50.—Chloroform on cap ; blowing vigorously. 28 times
a minute.
B. 7 54 30.—Apnœa ; cap entirely removed.
C. 7 54 45.—One breath
of pure air ; cap re - applied.
D. 7 55 0.—Regular slow respirations. 16 a minute.
E. 7 57 15.—Took two breaths of pure air while more chloroform
was being poured into the cap.
F. 7 57 45.—Holding breath ; cap entirely removed.
G. 7 58
0.—Gasped pure air ; breathing regular.Cap
re-applied.
H. 7 58 55.—Noisy expiration.
I. 7 59 25.—Cornea insensitive. Stopped chloroform.
September 1st. 1891..-No. 308.
Temperature of room 76 . 6° F. Strong Hindoo male, Ramanna, ætat. 25.
Disease—suppurating bubo. Operation—excision of inguinal glands
. Chloro-
formed at the Afzulgunj Hospital at 8h. 17m. 40s. by Student Shivram
Balkristna. Full anæsthesia at 8h. 23m. 20s. Anæsthesia maintained until
8h. 26m. 15s.
Observations.
H. M. s.
A. 8 17 40.—Chloroform on cap ; blowing very rapidly, 52 times
a minute.
B. 8 l8 15.—Blowing 68 times a minute.
C. 8 18 40.—Apnœa ;cap entirely removed.
D. 8 18 50.—One breath of pure air, followed by regular breath-
-ing, 20 times a minute. Cap re-applied.
382
H. M
S.
E. 8 19 30.—Apnœa ; cap entirely removed until 8h. 20m. 20s.
(50 seconds.)
F. 8 20 20.—One breath of pure air ; cap re-applied.
G. 8 21
0.—Noisy expiration.
H. 8 21 25.—Two breaths of pure air while adding more
chloroform.
I. 8 22 40.—Noisy expiration.
J. 8 23 20.—Cornea insensitive. Anæsthesia maintained by giv--
ing more chloroform from time to time until
8h. 26m. 15s.
September 1st, 1891.-No. 309.
Temperature of room 76 . 6° F. Old worn-out feverish Mahomedan male,
Dawod Khan, ætat. 81. Disease—cat-bite. Temperature in mouth 102.7° F.
operation—excision. Chloroformed at the Afzulgunj Hospital at 8h. 32m. 20s.
by Miss Lawrie. Fully anæsthetised at 8h. 36m. 40s.
Observations.
H . M.
S.
A. 8 32 20.—Chloroform on cap ; rapid blowing, 52 times a minute.
B. 8 33 5.—Cap brought close to face ; regular breathing, 32
a minute.
C. 8 33 20.—Apnœa ; cap entirely removed.
D. 8 33 30.—One breath of pure air ; cap re-applied.
E. 8 34
0.—Struggling ; breathing regular.
F. 8 34 40.—Holding breath ; cap entirely removed.
G. 8 34 55.—Gasped pure air ; regular breathing. Cap re-applied.
H . 8 3 5 1 5
.—Struggling ;
r e g u l a r b r e a t h i n g .
I. 8 36 0.—Noisy expiration ; 36 respirations a minute.
J. 8 36 40.—Cornea insensitive ; stopped chloroform.
K. 8 37 5.—Stertorous breathing ; no more chloroform had been
administered from 8h. 36m. 40s. ( Vide remarks
after Case No. 278.)
383
September 1st, 1891.—No. 310.
Temperature of room 76 . 6° F. Worn out old Mahomedan Kurreemudin,
ætat. 71. Disease—senile hypertrophy of prostate. Operation—perineal
section. Chloroformed at the Afzulgunj Hospital at 8h. 48m. 50s. by Shivram
Balkristna. Full anæsthesia at 8h. 51m. 45s. Continued until 8h. 56m. 50s.
Observations.
H
.
M .
S .
A. 8 48 50.—Chloroform on cap ; blowing gently 38 times a
minute.
B. 8 49 30.—Cap brought close to the face ; regular breathing 36
per minute.
C. 8 49 50.—Coughing.
D. 8 50 10.—Regular respirations ; 28 a minute.
E. 8 50 25.—Talking.
F. 8 50 35.—Struggling ; regular breathing.
G. 8 51 10.—Noisy expiration ; 32 respirations a minute.
H. 8 51 45.—Cornea insensitive ; stopped chloroform. Continued
afterwards until the operation was finished at
8h. 56m. 50s.
September 1st, 1891.—No. 311.
Temperature of room 83 . 5° F. Sickly Mahomedan male, Sayyed Mohidin,
ætat. 45. Disease—fistula in ano. Operation—incision. Chloroformed at the
Afzulgunj Hospital at 9h. 52m. 50s. by student Shivram Balkristna. Full
anæstliesia at. 9h. 56m. 45s. Continued until 10h. lm. 5s.
Observations.
H .
M .
S .
A. 9 52 50.—Chloroform on cap ; blowing very rapidly, 60 times
a minute.
B. 9 53 20.—Apnœa ; cap entirely removed.
C. 9 53 35.—Took one breath of pure air ; cap re-applied.
D. 9 53 45.—Regular respirations, 24 a minute.