The early history of spinal anesthesia

Mandabach, Mark G.

doi:10.1016/s0531-5131(02)00783-5

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…In the late nineteenth century, Dr. J. Leonard Corning used a 3% cocaine solution to perform lumbar punctures, first in dogs and then between T11 and T12 in a male patient, marking the first peridural blockade. At almost the same time, a surgeon named August Bier used a cocaine injection into the subarachnoid space of the spine for what is considered the first report of spinal anesthesia [ 44 ]. Regional blocks were first described in 1901 when radiologist J.A.…”

Section: Reviewmentioning

confidence: 99%

Bridging Old and New in Pain Medicine: An Historical Review

Paladini,

Barrientos Penaloza,

Plancarte Sanchez

et al. 2023

Cureus

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Pain is both one of the oldest complaints known to medicine and a field for some of medicine’s latest breakthroughs and innovations. Pharmacologic treatment of pain is one of the oldest remedies, and opioids have been used since ancient times as an effective pain reliever but with certain specific risks for abuse. Greater knowledge of opioids led to a more thorough understanding of the complexities of pain, which may have any number of mechanisms. A greater understanding of nerve fibers and pain signaling led to the development of more drugs and the more targeted delivery of analgesics using the hollow needle. The hollow needle changed pain treatment and led to percutaneous injections and what would later become interventional pain medicine with regional anesthesia and nerve blocks. Today, imaging can be combined with interventional techniques for more precise localization of nerves for diagnosis and treatment. The role of artificial intelligence in interventional pain medicine, especially in imaging for interventional procedures, remains unknown but will likely become extremely beneficial.

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Section: Reviewmentioning

confidence: 99%

Bridging Old and New in Pain Medicine: An Historical Review

Paladini,

Barrientos Penaloza,

Plancarte Sanchez

et al. 2023

Cureus

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“…Para Cole 61 , Corning fue el primero en publicar y Lund agrega que hizo la conclusión correcta de que el método podía ser usado como anestesia quirúrgica 62 . Para otros, sin embargo 63,64,65,66 , el mérito es de Bier porque describió la técnica adecuadamente, con un raciocinio anatómico y fisiológico impecable, experimentó en sí mismo, publicó prontamente y siguió perfeccionando la técnica. Como contrapartida, Corning desarrolló un raciocinio anatómico y fisiológico equivocado y muy probablemente la anestesia que consiguió en su paciente no fue raquídea, sino que muy probablemente una peridural, aseveración basada en la dosis de cocaína usada, que de haber sido inyectada en el espacio subaracnoideo podría haber sido fatal para el paciente, y por la secuencia temporal del establecimiento de la anestesia.…”

Section: Anestesia Raquídeaunclassified

Los cirujanos y la cocaína. Facile est inventis addere

SepÃolveda

2007

ARS med

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“…The first case of spinal anesthesia in humans was performed by August Bier in 1898 using the local anesthetic cocaine (1) Spinal anesthesia provides excellent operating conditions for surgery below the umbilicus. More recently, spinal anesthesia has been used in surgery above the umbilicus (2) .…”

Section: Introductionmentioning

confidence: 99%

Baseline Heart Rate as a Predictor of Post-Spinal Hypotension in Patients Undergoing a Caesarean Section

Ahmed Ghanem Ismail,

Aimen Hameed Latef

2023

MLU

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Background: Although spinal anesthesia is generally well tolerated, hypotension is a common adverse effect of subarachnoid block in some patients. In pregnant women, it was demonstrated that sympathetic activity is increased as compared with that of not pregnant women. Aim of study:To determine whether preoperative heart rate is a predictor for post spinal hypotension or not in obstetric patients. Methods:A prospective trial study that was conducted in the Obstetrics operating room at Al-Imamain Al-Kadhmain and Baghdad Teaching Hospitals, Baghdad, Iraq for a period of 12 months from Nov. 2019 to Nov. 2020. It involved 100 healthy full term pregnant women scheduled for elective C/S under spinal anesthesia. Baseline systolic, diastolic, mean arterial pressure, and heart rate were recorded. Blood pressure was monitored with an automated cuff blood pressure monitor at three-minute intervals until 30 minutes then every five minutes.Results: In this study, 55% of study patients complained from hypotension after spinal anesthesia. mean of baseline HR was significantly higher in patients who developed post spinal hypotension than that in those who didn't. The cut point of baseline HR was 92 beats/mint., so baseline HR > 92 beats/mint. is predictive for post spinal hypotension. Requirement of ephedrine was significantly higher in hypotensive patients who had baseline HR > 92 than that in those who had baseline HR ≤ 92. Conclusion:Preoperative heart is a good predictor for post spinal hypotension in pregnant women underwent cesarean section under spinal c anesthesia.

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The early history of spinal anesthesia

Cited by 6 publications

References 5 publications

Bridging Old and New in Pain Medicine: An Historical Review

Bridging Old and New in Pain Medicine: An Historical Review

Los cirujanos y la cocaína. Facile est inventis addere

Baseline Heart Rate as a Predictor of Post-Spinal Hypotension in Patients Undergoing a Caesarean Section

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