In February 1847 Robinson published A Treatise on the Inhalation of Ether, which is sometimes regarded as the first textbook of anaesthesia in the world, [1] [2] though this title has also been claimed by an early version of John Snow's 1847 On the Inhalation of Ether [8] and by Mafutsuto-Ron, an 1839 publication by Gendai Kamada documenting the induction of anaesthesia using a herbal cocktail. [9]
About 4 months after his initial foray into anaesthesia, Robinson abandoned the subject and dedicated himself again to dentistry. [10] : ix In 1848 he took up the position of surgeon dentist at the Royal Free Hospital, and in 1849 he was appointed as Prince Albert's personal dentist. [2] During the mid-1850s he resumed his initiatives to reform the dental profession. He was the inaugural president of the College of Dentists in 1856 (though he would later resign the post due to frictions between the college and the Odontological Society of London) [11] and was involved in the founding of the Royal Dental Hospital and the University College Hospital Dental Hospital. [1]
In 1862, Robinson was pruning a tree in his garden at Kenton when the knife slipped and wounded his leg, damaging the femoral artery. Despite receiving medical attention, he died of blood loss two days later, on the fourth of March and was buried on the western side of Highgate Cemetery. He was buried in the family plot of his wife's family, the Websters. A large ledger stone is on the grave (plot no.4642).
He was survived by his wife, Ann Elizabeth Webster. [1] [2] English Heritage commemorated Robinson's former residence at 14 Gower Street with a plaque in 1991. [12] A plaque also stands at 24 Gower Street to commemorate the administration of the first anaesthetic. [5]
Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. A person under the effects of anesthetic drugs is referred to as being anesthetized.
Crawford Williamson Long was an American surgeon and pharmacist best known for his first use of inhaled sulfuric ether as an anesthetic.
General anaesthesia or general anesthesia is a medically induced coma with loss of protective reflexes, resulting from the administration of either intravenous or inhalational general anaesthetic medications, often in combination with an analgesic and neuromuscular blocking agent. It is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients.
The Ether Dome is a surgical operating amphitheater in the Bulfinch Building at Massachusetts General Hospital in Boston. It served as the hospital's operating room from its opening in 1821 until 1867. It was the site of the first public demonstration of the use of inhaled ether as a surgical anesthetic on October 16, 1846, otherwise known as Ether Day. Crawford Long, a surgeon in Georgia, had previously administered sulfuric ether in 1842, but this went unpublished until 1849. The Ether Dome event occurred when William Thomas Green Morton, a local dentist, used ether to anesthetize Edward Gilbert Abbott. John Collins Warren, the first dean of Harvard Medical School, then painlessly removed part of a tumor from Abbott's neck. After Warren had finished, and Abbott regained consciousness, Warren asked the patient how he felt. Reportedly, Abbott said, "Feels as if my neck's been scratched". Warren then turned to his medical audience and uttered "Gentlemen, this is no Humbug". This was presumably a reference to the unsuccessful demonstration of nitrous oxide anesthesia by Horace Wells in the same theater the previous year, which was ended by cries of "Humbug!" after the patient groaned with pain.
Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.
An anaesthetic machine or anesthesia machine is a medical device used to generate and mix a fresh gas flow of medical gases and inhalational anaesthetic agents for the purpose of inducing and maintaining anaesthesia.
William Thomas Green Morton was an American dentist and physician who first publicly demonstrated the use of inhaled ether as a surgical anesthetic in 1846. The promotion of his questionable claim to have been the discoverer of anesthesia became an obsession for the rest of his life.
Horace Wells was an American dentist who pioneered the use of anesthesia in dentistry, specifically the use of nitrous oxide.
John Snow was an English physician and a leader in the development of anaesthesia and medical hygiene. He is considered one of the founders of modern epidemiology, in part because of his work in tracing the source of a cholera outbreak in Soho, London, in 1854, which he curtailed by removing the handle of a water pump. Snow's findings inspired the adoption of anaesthesia as well as fundamental changes in the water and waste systems of London, which led to similar changes in other cities, and a significant improvement in general public health around the world.
Sir Ivan Whiteside Magill was an Irish-born anaesthetist who is famous for his involvement in much of the innovation and development in modern anaesthesia. He helped to establish the Association of Anaesthetists of Great Britain and Ireland. Several medical devices are named after him.
Francis Boott was an American physician and botanist who was resident in Great Britain from 1820.
Methoxyflurane, sold under the brand name Penthrox among others, is an inhaled medication primarily used to reduce pain following trauma. It may also be used for short episodes of pain as a result of medical procedures. Onset of pain relief is rapid and of a short duration. Use is only recommended with direct medical supervision.
Henry Edmund Gaskin Boyle OBE was a pioneering anaesthetist best remembered for the development of early anaesthetic machines.
Dental anesthesia is the application of anesthesia to dentistry. It includes local anesthetics, sedation, and general anesthesia.
Joseph Thomas Clover was an English doctor and pioneer of anaesthesia. He invented a variety of pieces of apparatus to deliver anaesthetics including ether and chloroform safely and controllably. By 1871 he had administered anaesthetics 13,000 times without a fatality.
ACE mixture is an historical anaesthetic agent for general anaesthesia. It was first suggested by George Harley and first used in England around 1860. In 1864 it was recommended for use by the Royal Medical and Surgical Society's Chloroform Committee. It was rarely used after the 19th century, except in Germany, where it was used for slightly longer.
Attempts at producing a state of general anesthesia can be traced throughout recorded history in the writings of the ancient Sumerians, Babylonians, Assyrians, Egyptians, Indians, and Chinese.
An anesthetic vaporizer or anaesthetic vaporiser is a device generally attached to an anesthetic machine which delivers a given concentration of a volatile anesthetic agent. It works by controlling the vaporization of anesthetic agents from liquid, and then accurately controlling the concentration in which these are added to the fresh gas flow. The design of these devices takes account of varying: ambient temperature, fresh gas flow, and agent vapor pressure.
The following outline is provided as an overview of and topical guide to anesthesia:
Inhalation sedation is a form of conscious sedation where an inhaled drug should: