A history of neuraxial administration of local analgesics and opioids

被引:58
作者
Brill, S [1 ]
Gurman, GM [1 ]
Fisher, A [1 ]
机构
[1] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Univ Med Ctr, Div Anesthesiol, IL-84101 Beer Sheva, Israel
关键词
anaesthesia; conduction; anaesthesia spinal; analgesia; epidural; history of medicine; narcotics; opioids;
D O I
10.1097/00003643-200309000-00002
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The history of intrathecal and epidural anaesthesia is in parallel with the development of general anaesthesia. As ether anaesthesia (1846) is considered the first modern anaesthetic since Its use by Morton 157 yr ago, so Bier made history by using cocaine for intrathecal. anaesthesia in 1898. The first published report on opioids for intrathecal anaesthesia belongs to a Romanian surgeon, Racoviceanu-Pitesti, who presented his experience at Paris in 1901. It was almost a century before the opioids were used for epidural analgesia. Behar and his colleagues published the first report on the epidural use of morphine for the treatment of pain in The Lancet in 1979. Epidural and intrathecal opioids are today part of a routine regimen for intra- and postoperative analgesia. Over the last 30 yr, the use of epidural opioids has became a standard for analgesia in labour and delivery, and for the management of chronic pain. Finally, epidural opioids have been shown to have a pre-emptive effect, when used before major surgery. We present the evolution of neuraxial anaesthesia and the history of intrathecal and epidural administration of opioids.
引用
收藏
页码:682 / 689
页数:8
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