Spinal Anesthesia | 合法醫療器材資訊網

Beforeofferingapatientspinalanesthesia,ananesthesiologistnotonlymustbe...Patientpositioningisimportantafterinjectionofahypobaricspinalanesthetic ...

 Adrian Chin and André van Zundert

Carl Koller, an ophthalmologist from Vienna, in 1884 first described the use of topical cocaine for analgesia of the eye. William Halsted and Richard Hall, surgeons at Roosevelt Hospital in New York City, took the idea of local anesthesia a step further by injecting cocaine into human tissues and nerves to produce anesthesia for surgery. James Leonard Corning, a neurologist in New York City, in 1885 described the use of cocaine for spinal anesthesia. Because Corning was a frequent observer at Roosevelt Hospital, the idea of using cocaine in the subarachnoid[1] space may have come from observing Halsted and Hall performing cocaine injections. Corning first injected cocaine intrathecally into a dog and within a few minutes the dog had marked weakness in the hindquarters. Next, Corning injected cocaine into a man at the...