© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org
Spinal anaesthesia: a century of refinement, and failure is still an option
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On August 24, 1898, August Bier1 and his assistant Hildebrandt undertook experiments on [their] own bodies which were part of their historic initial investigations of spinal anaesthesia. Bier's description of these experiments is notable for the manner in which he documented the lack of sensibility after injection of cocaine into Hildebrandt's subarachnoid space, which included a burning cigar, a strong blow to the shin with an iron hammer, and strong pressure and traction on the testicles, none of which provoked pain. Absent from this report are descriptions of similar assessments being performed by Hildebrandt on Bier. This was not out of deference to Bier, but rather the Pravaz
University of California
San Francisco
CA 94110
USA
E-mail: kdrasner@anesthesia.ucsf.edu
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