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3 - History of Anaesthesia Society

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Pr<strong>of</strong>essor J J de 'Lange, Drs M A Cuesta, A Cuesta de Pedro.(Amsterdam)<br />

In 1865 Faulconer and Keys wrote abut Pages in 'Foundations <strong>of</strong><br />

Anesthesiolq': 'NT)~ much can be found out aborit the life <strong>of</strong> thi<br />

imprtant Swish surgeon'. They did not even know t'ie date <strong>of</strong> his birth. 9<br />

But Pages still achieved a plxe in these excellent books &cause he was<br />

the first to carry out epidur.31 anaesth?sia by the lmhr mute. For a long<br />

time this fact was l.ittle known; prohbly the main reason was h t he<br />

plblished his work in 1921 in mish nations1 surgical journals. $PS In<br />

1331 the Italian sturgeon AchiLe rQrio Dogliotti cla'med to be the first to<br />

carry out epidural anaesthesia by the imr mute.' Became we had access<br />

to the archives <strong>of</strong> his son, we are now able to complete the personal and<br />

scientific bioyraphy <strong>of</strong> Fidel Pages.<br />

mly life rmd military career<br />

Fidel was 'mm on 25th Janlmt-y 1886, the son <strong>of</strong> Juan Pages and Conception<br />

Xirave, at Ifuesca in Sixin. He studied medicine at the University <strong>of</strong><br />

Zaragoza, where he gained his licence (cum laude) in Medicine and Surgery<br />

on 17th June 1908. On 30th September <strong>of</strong> that year he started training as a<br />

~Wqical Of ficer at the MiLitary Medical Academy in Madrid and after a year<br />

kcame Surgeon to the Military Hospital <strong>of</strong> CaraMchel in Madrid. At that<br />

time. Spain ms engaged in a bloody war against the Rerbers in North Pfrica<br />

and in July 1909 Pages was sent to a military hospital in Mellila, where he<br />

treated many wound4 brought irl from the httlefields. He stayed there for<br />

two years, <strong>of</strong> which severe1 months were spent in the front line, and was<br />

honoured for his work by the award <strong>of</strong> a Military Cross, First Class.<br />

In August 1911 he returned to the mainland, was prmted to Capt;am and<br />

viurked at a n&r <strong>of</strong> military centres - Tarragona, Toledo and then the<br />

Deprtment <strong>of</strong> War at Madr~d. In 1913 '~e mrrled Concepclon Rergem y<br />

Nros, whose father was Gemn, and mtll 1914 thp couple l~ved at Cludad<br />

Real Ware Pages carrled orit med~cal examnatlons on nulltary recmlts.<br />

From there he was s?nt to the mil~tary hhosp~tal on Menorca, then to<br />

Allcante and flnally m Iby 1915 to tne Central Mxlltary Centre m Madrid<br />

there he would stay untll January 1920.<br />

Mluence <strong>of</strong> the First World Wm<br />

In 1915 he was almintd Surgeon to the Provincial Hospital <strong>of</strong> Madrid<br />

(I+ospital de la Eenificiencia), and b c m Associate Pr<strong>of</strong>essor <strong>of</strong> Practical<br />

Suryery in the Mdical Faculty <strong>of</strong> San Carlos and also General Practitioner<br />

to the Royal I-Iousshold. In February 1917, the third year <strong>of</strong> the First World<br />

War during wkich Spin was neutral, Pages was comnissioned by a Royal Order<br />

to go to Vienna and acccmpany, as medic3l expert, the Spanish Ambassador in<br />

inspections <strong>of</strong> prisoner-<strong>of</strong>-war camps in Austria-Hqary. In addition to his<br />

reptation as a good military surgeon, he was selected for this task<br />

becausa <strong>of</strong> his knowledge <strong>of</strong> French and G e m . On April 11th he arrived in<br />

Vienna and from there inspected camps; during the months <strong>of</strong> July and August

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