Driscoll MaryKate, Chung Hyun Kee, Desai Manisha S
1 University of Massachusetts Medical School, Worcester, MA, USA.
2 Department of Anesthesiology, University of Massachusetts Medical School, Worcester, MA, USA.
J Med Biogr. 2018 Aug;26(3):182-188. doi: 10.1177/0967772016644362. Epub 2016 Jul 13.
Surgeons influence the introduction and development of anesthesia in many ways. Robert Emmett Farr is frequently cited as the first to describe the use of brachial plexus anesthesia in children. A surgeon based in Minneapolis, Minnesota, he passionately believed that regional anesthesia was superior to general anesthesia for many surgical procedures. He wrote extensively promoting other regional techniques, including local infiltration of local anesthetics for pyloromyotomy and harelip repairs, as well as caudal blocks for lower abdominal procedures. Anesthesia texts from the early 1900's suggest that regional anesthesia was not popular as a reliable alternative to general anesthesia. Undeterred, Farr continued promoting his view that regional anesthesia was the future of surgery. We examine how Farr promoted regional anesthesia in children and adults, in a way changing surgical practice and improving clinical care. We also hope to highlight the other contributions to medicine made by this pioneer.
外科医生在许多方面影响着麻醉学的引入和发展。罗伯特·埃米特·法尔常被认为是首个描述在儿童中使用臂丛神经麻醉的人。他是明尼苏达州明尼阿波利斯市的一名外科医生，坚信在许多外科手术中区域麻醉优于全身麻醉。他撰写了大量文章来推广其他区域麻醉技术，包括在幽门肌切开术和唇裂修复术中局部浸润局部麻醉药，以及在下腹部手术中使用骶管阻滞。20世纪初的麻醉学文献表明，区域麻醉作为全身麻醉的可靠替代方法并不受欢迎。但法尔并未气馁，继续宣扬他的观点，即区域麻醉是外科手术的未来。我们研究了法尔如何在儿童和成人中推广区域麻醉，其方式改变了外科手术实践并改善了临床护理。我们还希望突出这位先驱者对医学的其他贡献。
