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A history of neuraxial administration of local analgesics and opioids
- Source :
- European Journal of Anaesthesiology. 20:682-689
- Publication Year :
- 2005
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2005.
-
Abstract
- 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.
- Subjects :
- Anesthesia, Epidural
Epidural use
medicine.medical_specialty
business.industry
Chronic pain
History, 19th Century
History, 20th Century
History, 18th Century
medicine.disease
Intrathecal
Anesthesia, Spinal
Surgery
Analgesia, Epidural
Analgesics, Opioid
Regimen
Anesthesiology and Pain Medicine
Regional anesthesia
Anesthesia
medicine
Morphine
Humans
General anaesthesia
Epidural administration
business
medicine.drug
Subjects
Details
- ISSN :
- 13652346 and 02650215
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- European Journal of Anaesthesiology
- Accession number :
- edsair.doi.dedup.....f88cc47d4cd4f5aa9449fcdd600bc93a