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Updated: June 19, 2025
The teeth were placed in a tepid normal saline solution, and the child chloroformed, narcosis being induced in sleep; the gums were cleaned antiseptically, and 3 1/2 hours afterward the child had the teeth firmly in place. They had been out of the mouth fully an hour. Four weeks afterward they were as firm as ever.
At the end of an hour the radial pulse was scarcely perceptible, respiration was somewhat increased in frequency and accompanied with a rasping sound. The breath smelt of benzin. The child lay in quiet narcosis, occasionally throwing itself about as if in pain. The pulse gradually improved, profuse perspiration occurred, and normal sleep intervened.
Only such eyes as have high hypertony, for example, in absolute glaucoma, are unaffected during chloroform narcosis.
On the subjective side it is very pronounced, with its feeling of relieved tension and agreeable repose a moment when, as one woman expresses it, together with intense pleasure, there is, as it were, a floating up into a higher sphere, like the beginning of chloroform narcosis but on the objective side this culminating moment is less easy to define.
In the light of this observation it will be interesting to measure the tension both of normal and glaucomatous eyes during narcosis in a large series of cases, and if it is confirmed there will be an additional reason why in many circumstances general narcosis is advantageous in glaucomatous patients.
"and singultus disappeared: A picture which, to a certain extent, is a combination of collapse and narcosis although not to the degree of profound loss of consciousness, being the picture of an intoxication in sharp contrast to the preceding febrile state."
I have never been able to persuade myself that, except as an adjuvant to operative work, there was any real therapeutic value in the instillation of adrenalin. A word in regard to the effect of general narcosis on intra-ocular tension. Thus, Neuschuler has observed that narcosis causes an elevation of the intra-ocular tension of from 2 to 6 degrees as measured with Fick's tonometer.
According to Lewin, Brochin reported a case in which the idiosyncrasy to morphin was so great that 1/25 of a grain of the drug administered hypodermically caused irregularity of the respiration, suspension of the heart-beat, and profound narcosis.
While no physician likes to give an anesthetic to a patient who has valvular disease of the heart, and no surgeon cares to operate on such a patient unless operation is absolutely necessary, still in valvular disease with good compensation the prognosis of either ether or chloroform narcosis is good.
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