Sundararaman Lalitha V, Desai Sukumar P
From the Department of Anaesthesia, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Anesth Analg. 2018 Jan;126(1):322-329. doi: 10.1213/ANE.0000000000002576.
Hundreds of thousands of anesthesia records are created each day. The earliest records were prepared by 2 medical students in late 19th-century Boston. Ernest Codman and Harvey Cushing went on to become prominent surgeons and contributed much to the safety of the surgical patient. Cushing's career is celebrated due to his associations with William Stewart Halsted, Peter Bent Brigham Hospital, Yale University, in New Haven, Connecticut, and his biography of Sir William Osler. Codman is remembered for introducing the morbidity and mortality conference as well as his drive to improve outcomes and patient safety. We analyze every anesthetic record created by Codman and Cushing and provide both a historical context and perspective on many ways in which their doggedness, brilliance, and insight anticipated many advances that enhanced safety for patients undergoing surgical procedures.
每天都会产生数十万份麻醉记录。最早的记录是由19世纪末波士顿的两名医学生编制的。欧内斯特·科德曼(Ernest Codman)和哈维·库欣(Harvey Cushing)后来都成为了杰出的外科医生,并为手术患者的安全做出了巨大贡献。库欣的职业生涯备受赞誉,这得益于他与威廉·斯图尔特·霍尔斯特德(William Stewart Halsted)、位于康涅狄格州纽黑文的彼得·本特·布里格姆医院(Peter Bent Brigham Hospital)、耶鲁大学的关联,以及他为威廉·奥斯勒爵士(Sir William Osler)所写 的传记。科德曼则因引入发病率和死亡率研讨会以及他为改善治疗结果和患者安全所付出的努力而被人们铭记。我们分析了科德曼和库欣创建的每一份麻醉记录,并从历史背景和多个角度展现了他们的坚韧、才华和洞察力如何预见了许多提高手术患者安全性的进步。