The Role Of Anesthesia During The Medical Fields History Essay

Nurse Anesthetist has been providing anesthesia to patients in the United States for more than 150 years. In the year 1840 the anesthetic qualities of drugs were demonstrated in the country. Ether, chloroform, nitrous oxide is some chemicals who helped nurses and doctors in conducting a modern surgical procedure. Florence Nightingale was a well known nurse because of her work in the Crimean War during the late 1850s, that ushered in the advent of professional nursing. Women started to choose nursing as a vocation. Nurses first gave anesthesia to wounded soldiers from the battlefield during the Civil War. The specialty nurses Anesthesia was then formed. Nurse

The shock of amputation sparked fear into thousands of civil war soldiers. Before the gilded age, patients resented surgery due to the pain associated with it. The main anesthesthetics that were used were hashish, Mandrake, alcohol, and opium. Surgery before the gilded age consisted of speed to lessen pain but it created hostile and often cruel conditions for the patient.

Anesthesiologists give patients anesthetics in a variety of ways, such as “orally, intravenously, by gas or direct injection to render patients insensible to pain Anesthesiologists typically maintain the same daily schedule a surgeon follows, participating in both scheduled and unscheduled operations. Anesthesiologists are responsible for determining the proper anesthetic and dosage level for each patient. They monitor the patients progress prior to, during, and after surgery.”(“Anesthesiologist” 31)

The role of the nurse anesthetist gradually developed as the demand increased for individuals who were highly and meticulously trained in anesthesia administration in an era where knowledge of germs, antisepsis and surgical interventions was emerging. During the 1800s, medical students were often responsible in the administration of anesthesia under the direct supervision of surgeons but the increased mortality rates in intraoperative patients suggested the need to reevaluate who would provide anesthesia. As a result of negative patient outcomes, surgeons turned to nurses, who served to be an adequate and reliable replacement. This trend proved to be catalytic in the movement of the nurse anesthetist.

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

The history of nurse anesthesia cannot be accurately studied without a thorough analysis of the pioneer and transformational leader, Alice Magaw. Charles Mayo called her the Mother of Anesthesia for many good reasons (CRNA Profiles, n.d.). It is worthy of the student anesthetist’s time to study the life, education, employment, leadership, publications, and legacy of Alice Magaw.

(History of Nurse Anesthesia Practice. 2010, May), (Koch, E., Downey, P., Kelly, J. W., & Wilson, W. 2001).

In comparison to modern medicine, the techniques used during the Civil War are vastly different than medical measures that are implemented in a medical setting today. Surgeons during the Civil War used sulfuric ether and chloroform as anesthesia. Sulfuric ether was discovered in Europe in the 1830s, and was first used as a anesthetic by William Morton in 1846 (Reimer). Anesthesia was only used in 95% of Civil War surgeries (Reimer). Sulfuric ether and chloroform were administrated by placing the chloroform or sulfuric ether on a sponge at the top of a cone and putting the open end over the nose and mouth (Reimer). This method wasted a lot of the liquid as it evaporated (Reimer). Due to the loss of solution, surgeons used just enough to make

One good thing that resulted from the Civil War was the rise of knowledge and use of modern anesthesia. This anesthesia came in two forms, chloroform and ether. Those patients that anesthesia was used on had a higher survival rate than those where it was not available. Before the war, alcoholic drinks, opioids and bite blocks were used to keep a patient controlled during surgery. These options did not completely eliminate pain causing stress and trauma. At the time of the Civil War, it was considered cowardly to undergo surgery using anesthetic. Anesthesia was usually used for women and children. Use of anesthesia did not go without risk. Surgeons had to practice to figure out adequate dosages which took a period of trial and error sometimes resulting in overdose and death. Although uncivilized at times, medical care during the Civil War helped bring on a new age of modern medicine.

Another way anesthesia improved healthcare was through continued public acknowledgement of its versatility. It also led to new discoveries in the medical field and impacted the rest of America's medical-related future. First off, it was widely used in the Crimean War over in Europe from 1853-1856. Because of anesthesia's success in the Crimean War, American physicians read up on the use of chloroform through pamphlets and documents that detailed how chloroform was used in the Crimean War and how it was used in civilian practices (Devine). As the war raged on, it soon became a common realization, after trial and error, that doctors should use chloroform during surgical operations when needed. By the end of the Civil War, Union records showed

The Experience of a Civil War surgeon. Without chloroform and ether, the death rate in the Civil War would have been much higher. In the book Civil War medicine; Challenges and Triumphs by, Alfred Bollet, the Chapter called Desperate Measures for Desperate Wounds talks about surgery and the use of anesthesia during the Civil War. Drawing on the experiences of European military surgeons, Civil War surgeons used the best information available at the time to help their patients. Although hampered by the lack of knowledge about bacteria, surgeon adapted and invented techniques to solve new surgical problems. The area around the wound was shaved and debrided to improve anesthesia. Chloroform was the anesthetic used during the Civil War . During

William Hammond was an American military physician and neurologist. He wanted to remove mercury and all antimony based medicines, For example Calomel, Tartar emetic, Formulary, and Army pharmacy. Theses medicines have been have been prescribed for centuries for everything from headaches to

Anesthesia was developed in order to block or prevent pain during medical procedures. Anesthesia has been the backbone of the medical world for around 100 years now. Early anesthetics were primitive and many patients simply did not trust anesthetics. Anesthesia is still a risky process even in todays advanced medical world. Anesthesia is not used to treat or diagnose any specific disease; the sole purpose is to aid both the patient and surgeon through procedures. However, anesthesia is used in different ways based on the magnitude of the procedure. There are three levels of anesthesia which include; local, regional, and general anesthesia. An anesthesiologist determines which type of anesthesia will be needed.

The practice of medicine has been shaped through the years by advances in the area of diagnostic procedures. Many of these advances were made possible by scientific breakthroughs made before the 20th century. Modern medicine arguably emerged. Both normal and abnormal functions (physiology and pathology) were increasingly understood within smaller units, first the tissues and then the cells. Microscopy also played a key role in the development of bacteriology. Physicians started to use stethoscope as an aid in diagnosing certain diseases and conditions. New ways of diagnosing disease were developed, and surgery emerged as an important branch of medicine. Above all, a combination of science and technology underpinned medical knowledge and

Anesthesia is the loss of feeling or sensation. It may be accomplished without the loss of consciousness, or with partial or total loss of consciousness. Anesthesia has not been around forever, but there is a background history of its creation and the primitive anesthetics used before anesthesia was discovered. Today there are many different anesthetics and delivery methods dependent to the type of procedure. Anesthesiologists and nurse anesthetists are a crucial part of the surgical team. Without anesthesia where would we be today?