Wijhe marten (6 risultati)
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Aggiungi al carrelloLeiden, Drukkerij Slinger, Alkmaar, 1991, 8°, 150 pp., 12 Abb., orig. Leinenband; beigelegt: Stellingen, 24. April 1991, 8°, 4 pp. First Edition! The english "Proefschrift" of Marten van Wijhe, born in Leiden in 1949. "The purpose of this dissertation is to clarify the history of anaesthesia at the Leiden University Hospital. Sp…ecific developments and achievements made in Leiden will be presented and compared with the situation elsewhere. Anaesthesiology is a young specialty in the Netherlands, where anaesthesia was long seen "as an unimportant but necessary nuisance which made surgery possible.as stated by Mrs. D.M.E, Vermeulen-Cranch in her oration on accepting the first chair in anaesthetics in the Netherlands in Amsterdam in 1951. Before 1940 there were only four medical practitioners who specialised in anaesthesia in the Netherlands. Even so, the advent of professional anaesthetists was an essential step in the scientific development of this field of medicine. Surgical scope remained limited awaiting professionalisation of anaesthesia. In the Netherlands there was a gap of several years between the first publications concerning the new technique and its general acceptance and usage. News of international medical developments was readily available to Dutch practitioners through reports in the Dutch medical journals. The following quotations shed more light on the changing attitudes toward anaesthesia. In 1889 J. A. Korteweg, on the occasion of his appointment as professor of Surgery in Amsterdam, spoke on ''Surgical Frontiers": operations on the brain, the spinal column, the abdomen and even the pericardium were possible. Consultation with other physicians was important to the modern surgeon, who could not be expected to know everything. He did not even mention anaesthesia. By contrast, in 1901, when he returned to Leiden to become the professor of surgery, he stressed the importance of good preparation of the patient before surgery, including the necessity of a complete physical examination before application of an anaesthetic. An anaesthetic was (rightly) regarded as a dangerous and unsure trip into unknown territory. This may be concluded from the following statement, placed at the end of a historical review of anaesthesia in 1897. " To find a safe anaesthetic is surely an ideal that will never be fulfilled, comparable to searching for ''the philosopher's stone". For an agent that works so powerfully on the mind, that it becomes insensible to the most powerful insults, must also sometimes cause permanent insensibility, making the apparently dead, truely dead. There is but a narrow crevice between life and death here, the more powerful the anaesthetic, the greater the danger of crossing the crevice." " Introduction.
