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