From laughing gas to chloroform, the podcast explores the brutal history of surgery without anaesthetics. The breakthrough in 1840s with ether and later chloroform changed medical practices. Discover the societal impact, struggles, and innovations in pain management.
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Quick takeaways
In the 19th century, surgeries were performed without anesthetics, leading to amputations on conscious patients, reflecting historical approaches to pain relief.
Introduction of ether and chloroform revolutionized surgeries, allowing for complex procedures, despite challenges like dosage control and side effects.
Deep dives
Evolution of Anesthetics
In the 19th century, surgeries were performed without anesthetics, with patients enduring operations on a conscious state, often leading to amputations. Early experiments with gases like nitrous oxide showed promise, but it wasn't until the 1840s that ether was successfully used as an anesthetic by a dentist in Boston. Chloroform later emerged as a popular alternative, with Queen Victoria being one of its early admirers.
Historical Use of Pain Relief
Historical approaches to pain relief ranged from alcohol and opium to medieval concoctions like duelle containing sedatives. These early methods were limited in providing lasting pain relief or true anesthesia. Despite variations in effectiveness, these remedies reflected changing societal attitudes towards pain and suffering.
Innovations and Challenges with Anesthetics
The introduction of anesthetics like ether and chloroform revolutionized surgeries, allowing for more complex and elective procedures. However, challenges such as dosage control, pungent odors, and potential fatal side effects posed risks. Innovations in medication like cocaine and later halothane mark significant advancements in anesthesia research and application.
Future of Anesthetics
Looking ahead, there is room for further refinements in anesthesia techniques, possibly exploring new combinations or methods like electrical anesthesia. The quest for less invasive and more precise anesthesia practices continues with the aim of improving patient outcomes and reducing potential risks associated with traditional anesthetic agents.
Melvyn Bragg and guests discuss the history of anaesthetics, from laughing gas in the 1790s to the discovery of “blessed chloroform”. Remembering his unsuccessful stint at Edinburgh Medical school Charles Darwin described the horrors of surgery before anaesthetics : "I attended the operating theatre and saw two very bad operations... but I rushed away before they were completed. Nor did I ever attend again, for hardly any inducement would have been strong enough to make me do so; this being long before the blessed days of chloroform. The two cases fairly haunted me for many a long year."The suffering Darwin witnessed is almost unimaginable. In the 19th Century, a simple fracture often led to amputation carried out on a conscious patient, whose senses would be dulled only by brandy or perhaps some morphine. Many patients died of shock.The properties of gases like nitrous oxide or “laughing gas” held out hope. The chemist Humphrey Davy in the 1790s described it as “highly pleasurable, thrilling”. He also noticed his toothache disappeared. But he failed to apply his observations and it wasn't until the 1840s that there was a major breakthrough in anaesthetics, when an enterprising dentist in Boston managed to anaesthetize a patient with ether. It became known as the “Yankee Dodge”. Ether had its drawbacks and the search for a suitable alternative continued until chloroform was tried in 1847, winning many admirers including Queen Victoria, the first English royal to use it. So why did it take so long for inhaled gases to advance from providing merely recreational highs to providing an essential tool of humane surgery? What role did the development of the atomic bomb play in the development of anaesthetics? And how have society's changing attitudes to pain informed the debate?With David Wilkinson, Consultant Anaesthetist at St Bartholomew’s Hospital in London and President of the History of Anaesthesia Society; Stephanie Snow, Research Associate at the Centre for the History of Science, Technology & Medicine at the University of Manchester; Anne Hardy, Professor in the History of Modern Medicine at University College London
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