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Volume 9b - History of Anaesthesia Society

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A .€?W years later, a zmwrable indication was dismissed by the<br />

olatetrician Dymff in Ubo. In hypovol3emic pregnant patients, he<br />

preferred this technique. In contrast to others, he had dissolved et$er<br />

'Normosal' in a solution with volune e~nding properties. The<br />

circulation thus became very stable. He rec-nded ether fusion as<br />

the wtnod <strong>of</strong> cnoice in selscted cases in obstetric surgery. 3Y<br />

In the late twnties, several articles abut ether anaesthesia were<br />

tlublished. Efembrs <strong>of</strong> the surgic3l deprtment <strong>of</strong> the NUrPeg Hospital<br />

here enthusiastic abut th-. results <strong>of</strong> more than 1900 conseative ether<br />

infusion anaesthetics without fatal ccmplication. They called for<br />

further intensive rese c int? this techniw and disc~issd ~tential<br />

aspects for the future.<br />

%36<br />

Bring the time these articles awared. new short-acting anaesthetic<br />

?rugs became available - the barbiturates. Rudolf Bmm, a na3mber <strong>of</strong> the<br />

Sur.7ical nt <strong>of</strong> the Charite introduced Fernocton intn srlrgical<br />

practice. His first report during the amusl meeting <strong>of</strong> the Gemn<br />

Surgic,ql <strong>Society</strong> received little attention :Imver. During file<br />

thirtie.;, the enthusiasm for ether infusion for anaesthetic ]nlrposes<br />

decreased. !The tremendo~ls sliccess <strong>of</strong> t'7e barbiturates and their<br />

derivatives mde this tschnique superfluou3. Nevgvheless, it was still<br />

described in rapitable Gennan surgicsl textbooks.<br />

me use <strong>of</strong> intravenous anaesthetic ether anaesthesia was an important<br />

step forward for severs1 reasons: a p a t impetus began for the<br />

production <strong>of</strong> short acting dm~s and, at the same time, exact<br />

dmumentation <strong>of</strong> the phamccdynamics as well as the sile effects <strong>of</strong><br />

intravenously administered drugs was initiated. It enabled emrience<br />

with a new technique <strong>of</strong> phlebotomy to be gained and initiated the<br />

developnent <strong>of</strong> the equinment needed for its daily use in practice. Last<br />

ht not least, t!is strange method <strong>of</strong> anaesthesia markedly Influenced<br />

our knowledge <strong>of</strong> perioperative fluid replacement.<br />

1 Ore C. CYmptes rendues heMomadaire des seances de l'academie des<br />

sciences. 1974; T79:79.<br />

2 Ore C. Etudes cliniques sur lanesthesie chirurgicale par la method<br />

des injections $3e chloral dans les veins.J.Ehlliere Paris 1895.<br />

3 Eurkhardt L.person..l cmication about Lul-fwig Wkhardt. 1989.<br />

4 Eurkhanlt L.Der Einfluss Aer Kochs?lzinhsionen auf die Chlor<strong>of</strong>orm<br />

-wikung wahrerld u~ld nach der narkose .Arch. klin .air. 1905; 75 : 1179<br />

5 Burkkardt L.Wr Ctllor<strong>of</strong>om-~md aetllernarkose durch intravenose<br />

Injektion. An-h,emr.Path.Pfiamr-ol119O9; 61:323-342.<br />

6 Burkhardt L.Die intraveno:3e iqarkose mit Aet'ler urid<br />

Chlor<strong>of</strong>orm, ..Munch r.le3.!~~h~?nschr. 1909; 46: 2365-2359.<br />

7 Burkhardt L. Zur F'rage der intravenosen Narkose.<br />

Munch.1ed.Wochensch.1910: 7: 361-367.<br />

8 Burkhardt L.Uekr intravenose Narkose. Munch.ed.Wochenscllr.<br />

1911; 15: 778-782.<br />

9 Jenkins hp. <strong>History</strong> <strong>of</strong> fluid administration during anaesthesia and

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