Volume 9b - History of Anaesthesia Society
Volume 9b - History of Anaesthesia Society
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