Because Corning made no mention of cerebrospinal fluid (CSF) efflux, most likely he inadvertently gave an epidural rather than a spinal injection to the patient. Ten minutes after the second injection, the patient complained of sleepiness in his legs but was able to stand and walk. Because Corning did not notice any effect after 8 minutes, he repeated the injection. Next, Corning injected cocaine into a man at the T11–T12 interspace into what he thought was the subarachnoid space. Corning first injected cocaine intrathecally into a dog and within a few minutes the dog had marked weakness in the hindquarters. Because Corning was a frequent observer at Roosevelt Hospital, the idea of using cocaine in the subarachnoid space may have come from observing Halsted and Hall performing cocaine injections. James Leonard Corning, a neurologist in New York City, in 1885 described the use of cocaine for spinal anesthesia. William Halsted and Richard Hall, surgeons at Roosevelt Hospital in New York City, took the idea of local anesthesia a step further by injecting cocaine into human tissues and nerves to produce anesthesia for surgery. Adrian Chin and André van Zundert THE HISTORY OF SPINAL ANESTHESIAĬarl Koller, an ophthalmologist from Vienna, in 1884 first described the use of topical cocaine for analgesia of the eye.
0 kommentar(er)
