Anaesthetics Flashcards

1
Q

What are the three main problems with surgery during the 19th century?

A

Pain
Infection
Bloodloss

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2
Q

What was discovered in 1799? By who?

A

Laughing gas (nitrous oxide) was discovered by Humphrey Davy who was a chemist but Horace Wells was the first person to put the gas into practise as he was a dentist .

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3
Q

What were the benefits and limitations of laughing gas?

A

Benefits: Dentistry was a lot easier as the gas didn’t knock people out it just numbed the area which was being operated on.

Limitations: Nobody believed Davy and Wells until he published his work. Plus, the gas didn’t work during some operations.

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4
Q

What was discovered in 1846? By who?

A

Ether was discovered by William Thomas Morton who painlessly removed a tumour from somebodies jaw after giving him ether.

Sir Robert Liston was the first British surgeon to use ether during an operation.

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5
Q

What were the benefits and limitations of Ether?

A

Benefits: The patient experiences no pain during an operation and it was more effective than laughing gas.

Limitations: Ether cause irritation to the lungs and eyes. Also, ether made people vomit and caused coughing. Ether was extremely flammable.

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6
Q

What was discovered in 1847? By who?

A

Chloroform was discovered by James Simpson who was a Professor of Midwifery at Edinburgh University. James Simpson found that chloroform was even quicker than ether and didn’t seem to have many side effects.

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7
Q

What were the Benefits and limitations of Chloroform?

A

Benefits: Chloroform knocks people out completely and helped women who were in excruciating pain during childbirth.

Limitations: People felt that using pain relief was against Gods wishes. Chloroform caused liver and heart damage.

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8
Q

What are the six key words of opposition against Simpson?

A
  • God / Religion: Against gods wishes to feel natural pain.
  • Infection: Because doctors had more time to complete an operation, doctors could take more risks and delve deeper into the body spreading germs.
  • Death:
  • Untested: People didn’t know if it was safe enough to use.
  • Speed: Surgeons took pride in their speed during amputations and anaesthetics meant that speed didn’t matter any more.
  • Dosage: Surgeons did not have a clue what amount to give to patients which made people skeptical to have an operation.
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9
Q

Who died after having an overdose of chloroform?

A

Hannah Greener died during an operation on her ingrowing toenail. Doctors gave Hannah some chloroform to knock her out. Hannah then gave a slight kick which the surgeons thought that she wasn’t completely knocked out so they gave her another dose of chloroform and ended up overdosing her, causing her to die.

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10
Q

Who was the first person to use laughing gas and what was his job?

A

Horace Wells- Dentist

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11
Q

Who solved the problem with dosage?How?

A

John Snow invented an inhaler which allowed the surgeons to give certain amounts of chloroform to patients.

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12
Q

What was the most common surgical procedure?

A

Amputations

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13
Q

who used inhaler chloroform for their birth and stop all opposition

A

Queen Victoria

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14
Q

What was surgery like before Anaesthetics were discovered?

A

Operations were carried out very quickly to reduce the pain

Patients were held down to reduce the amount of movement they made.

Surgeons such as Liston could remove a leg in minutes

Humphrey Davy used LAUGHING GAS to reduce pain in 1799

ETHER was also used to knock out patients but it had serious problems

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15
Q

What was surgery like after Anaesthetics were discovered?

A

The first reaction was negative – doctors were unsure about the long term effects of chloroform

The death of Hannah Greener in 1848 from too much chloroform scared surgeons

Anaesthetics did not make surgery safer – in fact the death rate got HIGHER as a result of the more complex operations that doctors started doing

However after Queen Victoria used chloroform during the delivery of her child in 1857 it became standard surgical practice

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