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Recent advances in anaesthesia from the point of view of the general practitioner, with special reference to pre-anaesthetic narcosis

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OsborneDC_1935redux.pdf (7.210Mb)
Date
1935
Author
Osborne, Denis C.
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Abstract
 
 
Ivlodern advances in medicine and surgery are gratefully received by the general practitioner. He is glad to know that Insulin can limit the ravages of diabetes, that pernicious anaemia is controlled by liver therapy, but he seldom encounters these diseases. Relief of pain and discomfort are his constant aim, and advances in medical science towards this make a special appeal. 'L'he introduction of new drugs for the production of anaesthesia and pre -anaesthetic narcosis have stimulated a fresh interest in this subject among general practitioners. It is for this reason I am prompted to record my experiences with the older types of anaesthetics, and to compare them with those of recent introduction.
 
Following my resident appointment in 1924, I became anaesthetist assistant to a surgeon, on the staff of a county hospital, for eighteen months, and since 1925 I have been a partner in general practice, in a town of sixty thousand inhabitants. In this practice the majority of the surgical work has been undertaken by my partners. Since 1930 I have held the post of honorary anaesthetist in a hospital of 120 beds. My records cover a period of ten years. During these years my interest in anaesthesia has increased with the introduction of newer methods. It has further been stimulated by the pleasure derived from finding the relief my patients experienced since the introduction of pre-anaesthetic medication.
 
Since the text books and articles I have studied are the composition of experts, I can hardly add fresh clinical observations from my limited experience. My object in this Thesis is to summarise my findings as a practitioner, in close touch with my patients before and after anaesthesia. I shall mobilise my experiences under the following headings:
 
1. The peculiar problems of anaesthesia in general practice. 2. A general review of anaesthesia, with a description of the drugs used. 5. The requirements of general practice. 4. My own experiences and personal impressions, with notes from my records of cases. 5. General suggestions and an account of the way in which the general practitioner may be best equipped, both in the matter of personal skill and practical material, in his duty in connection with anaesthesia.
 
URI
http://hdl.handle.net/1842/33438
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