. The Richmond and Louisville medical journal. ter, ofEdinburgh, Professor Hingston, ofMontreal, Professor Hjort, of Chris-tiana, Professor Hueter, of Griefs-wald, Professor Post, of New York,and others, exsection of the head of the femur was decidedupon as affording the only chance of recovery. While chloroform was administered by Dr. Sayres son, said that his plan of using chloroform was entirely atvariance with that taught in the books, and with the doctrine ofmost authorities, viz., that air must be inhaled with the anaes-thetic. Air, he said, was the antidote to the anaesthetic,
. The Richmond and Louisville medical journal. ter, ofEdinburgh, Professor Hingston, ofMontreal, Professor Hjort, of Chris-tiana, Professor Hueter, of Griefs-wald, Professor Post, of New York,and others, exsection of the head of the femur was decidedupon as affording the only chance of recovery. While chloroform was administered by Dr. Sayres son, said that his plan of using chloroform was entirely atvariance with that taught in the books, and with the doctrine ofmost authorities, viz., that air must be inhaled with the anaes-thetic. Air, he said, was the antidote to the anaesthetic, andas long as it was introduced anaesthesia would be prevented; hetherefore carefully excluded all air not saturated with chloroform,and found that five, ten, fifteen or twenty drops thus administered,according to the age of the patient, produced prompt anaesthesia,without that muscular resistance and contortion of the bodywhich followed its administration mixed with air. If, by anypossible contingency, this small quantity should produce dan-. MORBUS COXARIUS. 555 Fig. 21. gerous or unpleasant symptoms, a few artificial respirationseffected by compressing the chest, would exhale the smallquantity of poison, and thus avoid any fatal result. When chlo-roform was given in the usual way, i. e., mixed with air, anaes-thesia was not produced until a large quantity had been inhaled,in some cases many ounces, the patientduring this time struggling violently; andthe damage done to an inflamed joint bythese struggles more than counterbalancedthe good resulting from the anaesthetic. If,under these circumstances, failure of theheart or respiratory organs took place, thesystem was so saturated with the chloroformthat resuscitation by artificial means wasalmost impossible. The administration of the drug in the pres-ent instance confirmed the correctness ofDr. Sayres statements. The operation was performed in the man-ner described in Dr. Sayres paper, and thechild placed in the wire cuirass (
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