Théodore Tuffier | |
---|---|
Born | Théodore-Marin Tuffier 26 March 1857 Bellême, Orne, France |
Died | 27 October 1929 72) Paris, France | (aged
Nationality | French |
Citizenship | France |
Occupation | Surgeon |
Relatives | Madeleine Herbault (wife) Jeanne (daughter) Gabrielle (daughter) |
Medical career | |
Sub-specialties | Pulmonary Cardiovascular surgery Spinal anaesthesia |
Théodore-Marin Tuffier, known as Théodore Tuffier (26 March 1857 – 27 October 1929 [1] ) was a French surgeon. He was a pioneer [2] of pulmonary and cardiovascular surgery and of spinal anaesthesia.
He was born at Bellême in Orne in 1857 and was an intern from 1879 onwards. He was appointed a hospital surgeon in 1887 and initially worked at the Hôpital de la Pitié, then at the hôpital Beaujon. In 1889 he was made an associate professor and in 1891 he carried out the first successful re-section of an upper right lung destroyed by tuberculosis.
Tuffier worked on cardio-vascular surgery alongside Alexis Carrel and carried out one of the first successful interventions for an aortic aneurysm [3] as well as the first dilation of an aortic stenosis. [2] He also worked on the first vascular prostheses. [4] He worked on 'triage' for the wounded during World War One. [5]
Théodore Tuffier married Madeleine Herbault (1867–1940) and they had two daughters, Jeanne and Gabrielle. [1] He is also notable as the last named French owner of the Fragonard painting A Young Girl Reading . He died in Paris in 1929. He is remembered in modern medicine through 'Tuffier's Line', an imaginary line connecting the iliac crests, used as a landmark for the Processus spinosus L4 to identify L4/5 vertebral interspace in spinal anaesthesia and lumbar puncture.
Alexis Carrel was a French surgeon and biologist who spent most of his scientific career in the United States. He was awarded the Nobel Prize in Physiology or Medicine in 1912 for pioneering vascular suturing techniques. He invented the first perfusion pump with Charles Lindbergh opening the way to organ transplantation. Carrel was also a pioneer in tissue culture, transplantology and thoracic surgery. He is known for his leading role in implementing eugenic policies in Vichy France.
Spinal anaesthesia, also called spinal block, subarachnoid block, intradural block and intrathecal block, is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long. It is a safe and effective form of anesthesia usually performed by anesthesiologists that can be used as an alternative to general anesthesia commonly in surgeries involving the lower extremities and surgeries below the umbilicus. The local anesthetic with or without an opioid injected into the cerebrospinal fluid provides locoregional anaesthesia: true anaesthesia, motor, sensory and autonomic (sympathetic) blockade. Administering analgesics in the cerebrospinal fluid without a local anaesthetic produces locoregional analgesia: markedly reduced pain sensation, some autonomic blockade, but no sensory or motor block. Locoregional analgesia, due to mainly the absence of motor and sympathetic block may be preferred over locoregional anaesthesia in some postoperative care settings. The tip of the spinal needle has a point or small bevel. Recently, pencil point needles have been made available.
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The history of neuraxial anaesthesia dates back to the late 1800s and is closely intertwined with the development of anaesthesia in general. Neuraxial anaesthesia, in particular, is a form of regional analgesia placed in or around the Central Nervous System, used for pain management and anaesthesia for certain surgeries and procedures.
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