The development of inhalation anaesthesia : with special reference to the years 1846-1900... / [Barbara M. Duncum].
- Duncum, Barbara M.
- Date:
- 1947
Licence: In copyright
Credit: The development of inhalation anaesthesia : with special reference to the years 1846-1900... / [Barbara M. Duncum]. Source: Wellcome Collection.
523/664 page 503
![favourable result led Professor von Hacker to make further trials with ethyl chloride at his Clinic' 1 Sixty-six further cases at the Clinic were reported by Alfred Ludwig in 1897,2 and by 1898 the number had increased to 170. 'This figure', said Lotheissen, 'may, perhaps, seem relatively small, but this is easily explained because wherever possible we prefer to avoid general anaesthesia and use Schleich's infiltration anaesthesia.' 3 Fig. 140.—BREUER'S INHALER Designed for administering pental (see p. 222), but used for ethyl chloride by Lotheissen, of Innsbruck (c. 1898). Describing the evolution of the method of administering ethyl chloride at Innsbruck Lotheissen stated : ' It became apparent that an inhaler which makes an airtight junction with the face [4] was necessary in order to produce reliable anaesthesia in all cases. For a time we used Julliard's ether mask [see Fig. 107]. But the fact that the patient must rebreathe the expired mixture is not a matter of indifference and we discontinued the use of this mask and changed to the Breuer 1 Arch. klin. Chir., 1898, 57, 865-6. 2 Beitr. klin. Chir., 1897, 19, 639-64. 3 Arch. klin. Chir., 1898, 57, 866. 4 William McCardie (see p. 508 et seq.) translated this article and in the margin of the copy which he used for this purpose (now in the Nuffield Department of Anaes- thetics, Oxford) he wrote at this point : ' Try Ormsby inhaler '.](https://iiif.wellcomecollection.org/image/b20457200_0527.jp2/full/800%2C/0/default.jpg)


