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British Journal of Anaesthesia 2004 93(3):319-321; doi:10.1093/bja/aeh197
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Editorial I: Fifty years after—reflections on ‘The elimination of rebreathing in various semi-closed anaesthetic systems’

William W. Mapleson, Professor Emeritus

Department of Anaesthetics and Intensive Care Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, UK

The first 150 words of the full text of this article appear below.

Soon after I joined the Anaesthetics Department of the University of Wales College of Medicine in Cardiff as an assistant lecturer in 1952, William Mushin, the founding Head of Department, drew out five ‘semi-closed’ breathing systems and asked me to see if I could work out what conditions were required to eliminate rebreathing in each one. I needed some means of distinguishing between the systems so I labelled them A, B, C, D, E (Fig. 1). The resulting analysis was published in the British Journal of Anaesthesia in 19541 in the September issue—exactly 50 years ago.


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  		Fig 1 The five semi-closed anaesthetic breathing systems

 
I regarded that paper as just a minor piece of theoretical work to keep me occupied while waiting for volunteers for my main experimental project.2 Accordingly, I was astonished when, just one year later, at a meeting of the Anaesthetics Section of the Royal Society of . . . [Full Text of this Article]


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