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History of anesthesia paper
History of anesthesia paper
History of anesthesia paper
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The Discovery and Controversy over the First Use of Surgical Anesthesi
Dennis Brindell Fradin wrote in ”We Have Conquered Pain”: The Discovery of
Anesthesia, “We take it for granted that we can sleep through operations without feeling any pain. But until about 150 years ago, the operating room was a virtual torture chamber because surgeons had no way to prevent the pain caused by their healing knives.”
Fradin is right. Since several analyses of archaic human bones have proven that people have suffered from disease and pain since the beginning of their existence, one can only assume the tremendous pain humans had to endure before the discovery of anesthesia. The four brilliant men who ended mankind’s suffering also had to endure immense anguish after the discovery; their involvement erupted into a maelstrom of controversy, which contributed to early deaths and insanity, even though the discovery of surgical anesthesia has had such a positive effect on humanity.1
Prior to the discovery, surgeons would tie, strap, or hold down their patients to keep them from running off during surgery. Many times, the surgeon would give alcohol or narcotics to patients in order for the patient to better face the indescribable pain.
However, those that actually survived the surgery (chances are, they didn’t) swore they would have preferred death instead of the excruciating pain they had to endure.2 Even Dr. John Collins Warren, a senior surgeon before the discovery of anesthesia at the Massachusetts General Hospital in Boston, agreed that patients would rather die than have surgery. After Dr. Warren finished an amputation in 1844, before the discovery of anesthetics, he told himself, “The knife that heals must first give pain.”3
To have fully conscious, screaming patients during an operation even made surgeons not want to perform surgery. However, the discovery of surgical anesthesia changed the way most, including surgeons, perceived surgery. Although surgical anesthesia was not discovered until the middle of the nineteenth century, there were significant contributions by talented thinkers made more than one hundred years before the discovery.4 The list of those contributors includes Joseph Priestley, who discovered hydrogen in 1766, nitrogen in 1772, and oxygen and nitrous oxide in 1774 and also introduced inhalation as a way to administer medicine5, Humphrey ...
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...etween Dr. William Morton and Dr. Charles Jackson because it went into more detail than the other sources. It was extremely useful.
Nuland, Sherwin B, M.D., F.A.C.S. The Origins of Anesthesia. Birmingham, Alabama: The Classics of Medicine Library, 1983.
This book has a detailed account of the discovery and controversy over anesthesia. I used this book mostly for its primary documents. It was extremely useful.
Prescott, Frederick. Control of Pain. Great Britain: Thomas Y. Crowell Company, 1964.
This book covers different types of anesthetics. I used it for information before the discovery and the history of the discovery. It was useful.
Robinson, Victor, M.D. Victory Over Pain: A History of Anesthesia. New York: Henry Schuman, Inc., 1946.
This book is an account of the discovery of anesthesia. I used this book mostly for information on the controversy between the four contestants. It was also extremely useful.
Shapiro, Irwin. The Gift of Magic Sleep: Early Experiments in Anesthesia. New York: Coward, McCann, & Geoghegan, Inc., 1979.
This book covers the discovery of anesthesia. I used it mostly for contributions that led to the discovery. It was useful.
Prior to intubation for a surgical procedure, the anesthesiologist administered a single dose of the neuromuscular blocking agent, succinylcholine, to a 23-year-old female to provide muscular relaxation during surgery and to facilitate the insertion of the endotracheal tube. Following this, the inhalation anesthetic was administered and the surgical procedure completed.
Popular television paint a glorified image of doctors removing the seriousness of medical procedures. In the non-fiction short story, “The First Appendectomy,” William Nolen primarily aims to persuade the reader that real surgery is full of stress and high stakes decisions rather than this unrealistic view portrayed by movies.
2) “It’s difficult to determine who provides anesthesia care in the studies and the number of cases that actually involved a physician anesthesiologist (p. 11)” the ASA is claiming that the data collected and used in this review, are difficult to determine who did what and when. In other words it is unclear as to who was performing and providing care in these studies and very well could be, the care provided by an anesthesiologist. They say also that the data provided and used by the study has limiting factors to determine whether an anesthesiologist was available as needed, for rescue or advice by a patient being treated by a nurse anesthetist if they were to experience complications under the
It is not uncommon for a patient to experience pain and anxiety before or after a major procedure or breathing treatment. Imagining the myriad of complications that might occur during an operation can send one into multiple panic attacks. Coping with the loss of mobility and independence joined by the pain that accompanies recovery are only a few examples of the complex and traumatic experiences awaiting pre/post-operation patients. Fortunately, a medication was synthesized by Armin Walser and Rodney I. Fryer in 1975 to aid patients by easing anxiety and promoting sleepiness before an operation. An added benefit was that the events experienced during the operation were also forgotten while the medication was still in effect.
Anesthesia was not used in surgeries until 1846, so prior to that the patient was completely conscious when they operated on him or her, unless the patient passed out from pain. Patients were unwilling to be cut into while they were awake: “Dragged unwillingly or carried from the ward to the operating theatre by a couple of hospital attendants (in Edinburgh a large wicker basker was used for this purpose) the patient was laid on the operating table and if necessary strapped down” (Youngson 27). The tools used in surgeries can be seen here. Anesthetics Anesthetics were not used in surgery until October 16, 1846, at Massachusetts General Hospital (Youngson 51). Anesthesia is an inhaled gas known as ether.
John B. Pollard, Ann L. Zboray, Richard I Mazze. The International Anesthesia Research Society. (1996).
Winfield, H., Katsikitis, M., Hart, L. and Rounsefell, B. (1989). Postoperative pain experiences: Relevant patient and staff attitudes. [online] 34(5): pp.543-552. Available at: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T8V-45WYV7R-7G&_user=10&_coverDate=12%2F31%2F1990&_rdoc=1&_fmt=high&_orig=gateway&_origin=gateway&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=35e6b5e8c8f803b487b35d4ae3b06cef&searchtype=a[ [accessed 8/5/2013]
Thatcher, V.S. (1953) History of Anesthesia, With Emphasis on the Nurse Specialist. Philadelphia: J.B. Lippincott Company.
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
On October 16th, 1846 the world of surgery changed forever. Taking place in the Ether Dome at Mass General Hospital was the surgical removal of a tumor in a man’s neck. The surgeon was the world renowned Doctor John Warren. Before Doctor Warren could slice into the man’s neck, William TJ Morten, a dentist, ran into the room. He presented a bag filled with a gas called Ether, and swore that he could erase all of the patient’s pain. He had tested this gas on himself, his dog, and his goldfish. Doctor John Warren gave him permission to try out this relatively untested gas on his patient. For the first time in surgical history, the Ether Dome stayed silent throughout the surgery. No screaming, no flailing, and no burly men needed to hold the patient down (Decoding The Void). Soon Doctors all over the world were using general anesthesia, and history was made.
Volles, D. F. (2011, April 11). University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures. Retrieved May 12, 2011, from University of Virgina Health System: University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures
There were no real monumental changes in surgery techniques for the first half of the nineteenth century. In fact, before 1846, the only change in surgical practices was that the newer surgeons had a greater knowledge of anatomy and pathology. Surgery during this half of the century was a horrible experience that was only turned to as a last resort. Many people would choose to commit suicide rather than live through the agony of surgery, and the suffering afterwards. Operations were very brief and were accompanied by great pain. Generally the patient would be held down screaming, while the doctor performed whatever surgery was necessary. At this point in history, surgery would have been very different from what it is today. Rather than the scalpel and surgeons mask, the doctor would use a tool like a hacksaw to cut through the bone in the area being amputated. It was not until the discovery of effective anesthesia that surgery became a relatively common phenomenon. The word Anesthesia is from greek, and means "without sensibility".
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Everyday, people go through surgery and require a specialist that will monitor their surgery as well as give them what they need to be able to persevere the pain, which is exactly what anesthesiologists do. In order for the patients to be able to get into surgery and deal with the agonizing aches after the abscission, anesthesiologists have to give the sufferer the proper treatment before and after the surgery. Overall, anesthesiologists must be highly educated in both medicine and communication, they need to be able to give the patient the right amount of medicine as well as speak with the family of patients and other doctors to inform them all with what will be done during the surgery, and they need to be able to properly assist the surgeons during operations.
The invention of machines occurred in the Egyptian city of Alexandria in the 3rd century BCE and had a profound effect on the practice of medicine “Berrey Alexandrian Physiology.” The invention of machines, such as valves, pumps, levers, and wedges influenced the way in which ancient physicians described and understood the body, in addition to providing new methods for treating conditions. Machines provided a means to treat previously untreatable conditions, served as a form of entertainment, and contributed to a separation of power between medical practitioners.