Deaths Under Anæsthesia From 1921 to the Present Date

Jarman, Ronald

doi:10.1093/bja/16.3.100

Cited by 5 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Causes of death during general anesthesia were multiple: cumbersome and inaccurate anesthesia delivery systems, suboptimal airway management, inadequate knowledge for safely coordinating polypharmacy, acceptance of cyanosis as a normal part of anesthesia, and implementation of new respiratory depressant drugs without mastering controlled ventilation and endotracheal intubation. 120 Occasionally an attempt was made to compensate for operators' unfamiliarity with the new machines by attaching printed instruction cards to the machines. 121 The use of anesthesia in emergencies or outside the operating room increased the risk of complications.…”

Section: Resuscitation In Anesthesiamentioning

confidence: 99%

An Anesthesiologist’s Perspective on the History of Basic Airway Management

Matioc

2018

Anesthesiology

View full text Add to dashboard Cite

This third installment of the history of basic airway management discusses the transitional—“progressive”—years of anesthesia from 1904 to 1960. During these 56 yr, airway management was provided primarily by basic techniques with or without the use of a face mask. Airway maneuvers were inherited from the artisanal era: head extension and mandibular advancement. The most common maneuver was head extension, also used in bronchoscopy and laryngoscopy. Basic airway management success was essential for traditional inhalation anesthesia (ether, chloroform) and for the use of the new anesthetic agents (cyclopropane, halothane) and intravenous drugs (thiopental, curare, succinylcholine). By the end of the era, the superiority of intermittent positive pressure ventilation to spontaneous ventilation in anesthesia and negative pressure ventilation in resuscitation had been demonstrated and accepted, and the implementation of endotracheal intubation as a routine technique was underway.

show abstract

Section: Resuscitation In Anesthesiamentioning

confidence: 99%

An Anesthesiologist’s Perspective on the History of Basic Airway Management

Matioc

2018

Anesthesiology

View full text Add to dashboard Cite

show abstract

Literaturübersicht

Taeger¹

1939

Vergiftungsfalle.

View full text Add to dashboard Cite

Evolution of 20th century attitudes to prophylaxis of pulmonary aspiration during anaesthesia

McIntyre

1998

Can J Anaesth

View full text Add to dashboard Cite

Purpose: To describe the evolution of aspiration risk identification and prophylactic management during general anaesthesia as presented in the United Kingdom (UI 0 anaesthesia textbooks published 1900-t998. Methods: The Cumulated Index Medicus, 1900 -1997, was searched under the headings: anaesthesia, aspiration, and pneumonia for relevant articles. A classification of features was created using key words and phrases: fasting guidelines, gastric emptying, intestinal obstruction and peritonitis, gastro-oesophageal function, upper oesophageal sphincter, raised intra abdominal pressure, pregnancy, posture and difficult tracheal intubation. Finally, 46 20 th century UK anaesthesia text books were studied for the presence or absence of these features. Results: Throughout the century, intestinal obstruction was a recognized risk factor. Only in the 1940s did some authors mention many of the now known risk factors. Hazards for the pregnant patient were described and in the 1960s the importance of the cricopharyngeus muscle was identified. Prophylactic measures included food and water restriction recommendations, especially in the latter half of the century and gastric lavage and drainage were mentioned throughout the century, as was posture at induction. In the 1950s tracheal intubation began to be routinely recommended. In the 1960s, cricoid pressure appeared and then a burgeoning interest in pharmacological control of gastric content character. Awake tracheal intubation is not always mentioned in t 990-96 textbooks. Conclusion: The consensus of information in textbooks since 1970 was lacking in the previous part of the century. Current textbooks are fewer and are published less frequently. Their role in contemporary anaesthesia education and update merits review. Objectif : D&rire, ~ partir des manuels d'anesth&ie publi& au Royaume-Uni de 1900 ~ 1998, I'~volution de ridentification des risques d'aspiration et des mesures prophylactiques pendant une anesth&ie g~n~rale. M~thode : On a examin@ rlndex Medicus cumulatif, 1900-1997, selon les rubriques suivantes 9 anesth&ie, aspiration et pneumonie pour trouver des articles pertinents. On a cr~ une classification des articles selon des mots-cl& et des expressions : ligne de conduite concemant le je0ne, &acuation gastrique, obstruction intestinale et p&itonite, fonction gastro-oesophagienne, sphincter sup~rieur de I'cesophage, ~l&ation de la pression intra-abdominale, grossesse, posture et intubation endotrach~ale difficile. Finalement, 46 manuels d'anesth~sie publi& au 20 e si&le au R-U ont ~t~ examin& pour v&ifler la presence ou rabsence de ces caract&istiques. R&ultats : Tout au long du si&le, I'obstruction intestinale a ~t~ reconnue comme un facteur de risque. C'est dans les ann~es 1940 seulement que certains auteurs mentionnent de nombreux facteurs de risque connus aujourd'hui. Les risques pour les femmes enceintes ont ~t~ d&rits et, darts les ann&s 1960, I'importance du muscle crico-pharyngien a ~t~ identifi&. Les mesures prophylactiques comprenaient, surtout pendant...

show abstract

Deaths Under Anæsthesia From 1921 to the Present Date

Cited by 5 publications

References 0 publications

An Anesthesiologist’s Perspective on the History of Basic Airway Management

An Anesthesiologist’s Perspective on the History of Basic Airway Management

Literaturübersicht

Evolution of 20th century attitudes to prophylaxis of pulmonary aspiration during anaesthesia

Contact Info

Product

Resources

About