19th Century Surgery Flashcards

1
Q

Uses for alcohol and opium

A

Helps subdue a patient and given to children to calm them down

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2
Q

Negatives of alcohol and opium

A

Could cause death
Some had arsenic + mercury
Opium is addictive

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3
Q

Uses of nitrous oxide

A

Relieves pain in operations

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4
Q

Who found nitrous oxide?

A

Sir Humphrey Davy and friends were trying out drugs and got knocked out. Published findings in 1800.

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5
Q

Ether facts

A

Found by William Morton in 1846

Robert Liston amputated a leg in 28 seconds

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6
Q

Nitrous oxide negatives

A

Difficult to control doses
Hard to inhale
Vomiting

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7
Q

Ether negatives

A

The patient could awake mid operation
Flammable
Irritates lungs
Large bottles

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8
Q

Chloroform

A

Used by James Simpson in 1847 to reduce pain in childbirth

Causes sleepiness, drowsiness and unconsciousness

In 1853, Queen Victoria used it in the birth of her eighth child.

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9
Q

Chloroform negatives

A

Correct dose size is needed

Hannah greener died after using it

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10
Q

Coca Leaves, Cocaine

A

From South America and used to make eye drops. In 1891 it was chemically produced

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11
Q

What did the church think about the use of anaesthesia?

A

The church thinks it unacceptable to take away pain, especially during childbirth, as this is part of gods punishment to women.

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12
Q

What is antiseptic surgery?

A

Surgery where measures are taken to kill harmful microbes

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13
Q

What is aseptic surgery?

A

Surgery where an infection is prevented from entering the wound by using a sterile environment.

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14
Q

Who was Joseph Lister?

A

He was a British surgeon who observed surgeries done on frogs and a boy called Jamie Greenlees to see that clean instruments prevented infection.
Used an operating room sterilised with carbolic acid.
The mortality rates in his operations dropped from 46% to 15% in three years.

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15
Q

Who invented a machine that sprayed carbolic acid?

A

Joseph Lister in 1871

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16
Q

When did Joseph lister publish his findings?

A

1867

17
Q

What was the largest killer in surgery?

A

Sepsis infection (hospital gangrene)

18
Q

Ignaz Semmelweiss

A

On charge of the maternity ward in Vienna where he reduced the death rate from 35% to 1% by making doctors wash their hands in calcium chloride

19
Q

Drawbacks of antiseptic surgery

A

A lot of surgeons denied the possibility of them spreading infection
Carbolic acid irritated the skin and lungs it was difficult to prepare
People had trouble accepting germ theory and therefore infection

20
Q

Charles Chamberland

A

In 1881, the French biologist invited a steam steriliser for equipment
This created a germ free environment

21
Q

Gustav Neuber

Ideas published?

A

Created a sterile operating theatre where all his staff had to scrub in.
He published his ideas in 1886

22
Q

More people in aseptic surgery

A

William Halstead
Made his team wear surgical clothing and asked the Goodyear rubber company to make him ultra thin gloves

Berkeley Moyniham
First Briton to wear gloves
He also wore surgical gowns before entering the theatre