Surgery: Phase 2 Changes in anaesthetics to alleviate pain 1848-1960 Flashcards

1
Q

Who first experimented with ether in 1846?

A

An American dentist - he found it to be stronger than laughing gas

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2
Q

Who first used ether in Britain in 1847?

A

Robert Liston

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3
Q

What was astonishing about ether?

A

That the patient did not need to be held down to perform surgery.

The patient also woke up not knowing that an operation had taken place

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4
Q

What are the limitations of ether?

A

It caused vomiting

It irritated the lungs

It caused the patient to cough during the operation

The patient could be asleep for hours or even days

It was unstable

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5
Q

Who discovered the use of chloroform in 1847?

A

James Simpson

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6
Q

How did James Simpson discover the use of chloroform?

A

He was experimenting with colleagues and it knocked them all out in under a minute.

He realised this was powerful.

He used to relieve labour pains in childbirth.

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7
Q

How did Queen Victoria make chloroform more acceptable?

A

She used chloroform with the delivery of her 8th child.

John Snow administered it.

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8
Q

What did John Snow ceate in 1848?

A

The chloroform inhaler to control the dose.

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9
Q

What were the limitations of chloroform?

A

Christian Opposition - arguments against relieving the pain of childbirth - it was seen as unnatural

Medical arguments - It was a new and untried gas. Hannah Greener died from chloroform usage in 1848

Blood loss - Anaesthetics did not make surgery safer. Doctors tried longer and deeper surgeries which increased the risk of infection.

Infection - Surgeons still did not understand the importance of hygiene. This meant that infection was still high.

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10
Q

How did the increase in anaesthetics lead to a ‘Black Period’ of surgery

A

There was an increased number of deaths due to blood loss and infections.

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