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Volume 9b - History of Anaesthesia Society

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Drs M Goerig, K Ayisi, J Schulte am Esch (Hmhrg)<br />

Inhalation and intravenous administration <strong>of</strong> drugs are the main pillars<br />

<strong>of</strong> general anaesthesia. Wten, a &ination <strong>of</strong> Mth techniques is used,<br />

minimising side effects and and augmenting beneficial properties <strong>of</strong> the<br />

aqents .<br />

me modern era <strong>of</strong> intravenous anaesthesia began in 1871 when the French<br />

surgeon Ore, in Bordeaux, reported the successful administration <strong>of</strong><br />

chloral hydrate in anmy1 studies.1 A few years lster he employed the<br />

drug in human binqs. A monograph about this new technique was<br />

rxlblishd by him in 1875 but 4espite encouraging results, the method<br />

fell into disrepute. Thlj canplicatecl technique, coupled with the<br />

ohsemation that t'le therapeutic dosage was close to toxic levels, was<br />

the explanation for this. Nevertheless, with the first attemt made, it<br />

was only a question <strong>of</strong> time before ot11er researchers in t5is field would<br />

a-ster less toxic drugs intravenously.<br />

Rddnn3tus biqm@xical details<br />

In search <strong>of</strong> practical<br />

alternatives, Ludwrig Aurkhardt,<br />

a surgeon from IWzhrq, (Figure<br />

1) plblished his first<br />

experience <strong>of</strong> a new technique.<br />

He favoured the infusion <strong>of</strong><br />

chlor<strong>of</strong>orm or ether<br />

intravenously.<br />

Pigum 1. Iwdwig Rnkhardt 1872-1924<br />

Bur'khardt was born in lq72 and<br />

graduated in medicine frm<br />

Munich in 1995. At the<br />

Department <strong>of</strong> PatlioLqy he<br />

became involved in basic<br />

research and on the basis <strong>of</strong><br />

thess exceriments, was able to<br />

perform intravenous ether<br />

anaesthesia research by himsalE.<br />

At the beginning <strong>of</strong> this century<br />

he entered surqicaL training at<br />

the University <strong>of</strong> IGurzburq, .<br />

where he contin11e-l his<br />

euperiments. He recomne~ed the<br />

method enthusias ticall and<br />

smead its clinical use?-6 In<br />

1913 he was anpointed chaimwi<br />

<strong>of</strong> the Section <strong>of</strong> Intravenous

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