01.02.2018 | Images in Anesthesia
An early Canadian-made chloroform inhaler
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 2/2018
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On January 21, 1848, in Quebec City, Dr. James Sewell performed the first operation under chloroform anesthesia reported in Canada.1 With his colleagues, Drs. William Marsden and James Douglas, he performed and subsequently reported several other operations under chloroform anesthesia. On February 15, 1848, use of the first anesthesia inhaler was described by Dr. Marsden,2 who noted thatNot satisfied with the performance of that first funnel-shaped inhaler, or with a second one ordered from Scotland, Dr. Marsden asked the Augustine nuns of the Hôtel-Dieu de Québec, the oldest hospital in North America,3 to build a better one. Using their ingenuity and skills, the Augustines handcrafted what is likely the first Canadian-designed and Canadian-constructed chloroform anesthetic apparatus (Figure). It can still be seen in the Museum of the Augustines’ Monastery in Quebec City.1“… a piece of lint having been placed in a funnel-shaped piece of sheet lead, open at both ends, about a drachm and a half (5.3 mL) of chloroform was poured upon the lint, and then applied to the mouth and nose of the patient, to be inhaled or inspired…. The breathing of the patient became somewhat laborious and quick soon after applying the chloroform, which was probably occasioned by the outer aperture of the leaden funnel being rather small….”