Volume 9b - History of Anaesthesia Society
Volume 9b - History of Anaesthesia Society
Volume 9b - History of Anaesthesia Society
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Kirschner's clinical observations remin valuable for the recent<br />
discussion <strong>of</strong> the site <strong>of</strong> action <strong>of</strong> local anaesthetics in spinal<br />
anaesthesia. Because all segments within the bubble <strong>of</strong> air were sparecl<br />
from anaesthesia it is unlikely that spinal anaesthesia acts on the<br />
spinal cord itself but directly or mainly on the spinal roots. This fact<br />
was already detected and described by Martin Kirschner. In his diagram<br />
<strong>of</strong> 1934 he exactly illustrated the clinical observations <strong>of</strong> the sprzad<br />
<strong>of</strong> analgesia dependent on the loc3lisation <strong>of</strong> the anaesthetic 'plug1.<br />
1 Kil-schner M. Versuche zur Herstellung einer gurtelfodgen<br />
Spinalanasthesie. Lmgenkecks Arch.kLin.Chir.1931; 167: 155-769.<br />
2 Kirschner M. Einer guctelformige, einstellbare und individuell<br />
closierbare Spinalbetaubung. Cliirurg.1931; 633-644.<br />
3 Kirschner M,Stawe. Beitrage zur willkurlichen Begrenzung und<br />
individuallen msierung der Spinalanasthesia. Mahrungen an uber<br />
1OOO eigenen Fallen. Langenbecks Arch.klin.Chir.1932;173:322-393.<br />
4 Kirschner M. Spinal zone anaesthesia, placed at will and dosage<br />
individually gradecl.Surg.Gyn.Obs.1932; 55: 317-329.<br />
5 Phillipides D. Ein vereinfachtes Verfahren der gurtelformigen einstellbaren<br />
Spinalanasthesie. Langenbecka Arch.klin.Chir.1937; 189:<br />
445-451.<br />
6 t+xitsch P. Die Schmertzverhutung bei Chirurqischen Einqriffen.<br />
Flaudrich, Wien, 1949, pp185-186.
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