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History of Anesthesia

 
     
 

 

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Surgical Anesthesia

Ooh, aah, ouch! Don’t we say at least one of these when in pain? Don’t we try and avoid injections, if we can help it? Don’t we all shrink away from the dentist’s chair, mortally afraid of an anticipated pain? Can you imagine what it must have been like to get operated, before anesthesia was discovered by scientists?

Until the discovery of anesthesia, surgery was an ordeal for both the patient and the surgeon. Surgeons worked at breakneck speed to get in and out of the patient’s body as quickly as possible. For their part, some patients used alcohol or opium to lessen the pain, while others took to reciting verses or hymns. Passing out was considered a blessing. In China, practitioners used to first give a patient acupuncture in the area, in order to achieve an anesthetic effect. The advent of surgical anesthesia changed all this, permitting surgeons to work at a slower, more careful pace.

 

The story of surgical anesthesia begins in 1275 when a Spaniard, Lullius, discovered ether, an organic solvent; however, its anesthetic properties were unknown. In the early 1800s, it is said that people, who wanted make themselves high, used to inhale ether at parties. Ether was therefore in great demand at parties. A physician in Jefferson, Georgia, used to frequently prepare ether at the request of his friends. One evening, he inhaled ether at a so-called ether frolic party and badly bruised himself while he was high. Yet, the physician, whose name was Long, noticed that he felt no pain.

Now Long needed to experiment and prove the point. Around the same time, a friend, who had two cysts in his neck, was advised to undergo surgery. He was terrified at the prospect of surgery. Long convinced the friend, James Venable, to try ether. On March 30, 1842, Venable used ether before surgery and the ether made him unconscious. The experiment was a success; Venable was amazed to notice that he remembered no pain at all. The operation too had been a success. In the next four years, Long successfully used ether as anesthesia on eight patients.

However, in 1842, Long’s secret was “stolen” by a physician Charles Jackson and a dentist, William Morton. They somehow learned what Long was doing with ether, possibly when on a visit to Jefferson. On October 16, 1846, the dentist Morton used ether to anaesthetize two of his patients at Boston's Massachusetts General Hospital, in front of an audience of famous surgeons. The results were published, and anesthesia was soon introduced to the entire world. Long received no credit for the discovery.

Long, Jackson, Morton and many others claimed to have made the discovery of surgical anesthesia and there followed bitter quarrels over the issue. The Congress of the United States took up the matter and debated it for sixteen years, without ever deciding who first introduced ether as an anesthetic procedure. The public at large, however, gained immensely from the discovery. The use of anesthesia developed rapidly. In the years that followed, new anesthetic agents were discovered by scientists and they also developed better methods of administering anesthetic gases. Eventually, they eventually discovered local anesthesia.

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