A Brief History of Anesthetics
Anesthetics have been used for thousands of years. In fact, the first recorded use of anesthetics was actually in the ‘pre-history’ era, an era of human history predating written text.
Early Uses of Herbal Anesthetics
In the pre-history era, anesthetics were herbal in nature. Opium poppies are known to have been harvested as early as 4200 BC, and these plants were farmed first in the Sumerian Empire. The first recorded uses of anesthetics containing opium preparations was in 1500 BC, and by 1100 BC, civilizations in Cyprus and other locations were farming and harvesting the plants.
Opium poppies were introduced to India and China in 330 BC and 600 to 1200 AD, respectively. Other types of herbal anesthetics were in use in China during this era as well. In the second century, the Chinese physician Hua Tuo is known to have used an anesthetic derived from cannabis to perform abdominal surgery.
In Europe, Asia, and the Americas, several other ‘solanum’ plant species were used as anesthetics, including mandrake, henbane, and several datura species. Each of these contains a potent tropane alkaloid. In the classical Greek and Roman eras, prominent figures such as Hippocrates and Pliny the Elder noted the uses of opium and solanum-containing plants. In the Americas, the leaves of the coca plant (from which cocaine is derived) were an often-used anesthetic. This was applied by Incan shamans who would chew coca leaves and then spit the leaves into wounds to administer a local anesthetic.
Herbal anesthetics of these types were widely used for several centuries; however they were not without drawbacks. One of the main problems with the use of herbal anesthetics was in administering the right dosage-too little would have no effect, and too much often killed the patient. Standardization of anesthetics was difficult, but was achieved to a certain degree prior to the nineteenth century by categorizing anesthetics according to the location in which anesthetic plants were grown.
The Discovery of Morphine
In 1804, a German pharmacist named Friedrich Wilhelm extracted morphine from the opium poppy, and named the compound ‘morphium’, for the Greek god of sleep and dreams. However, morphine was not widely used for nearly fifty years. In 1853, the hypodermic needle was developed, and thanks to this new method of administration, the use of morphine increased substantially. Morphine was then widely used as an anesthetic.
In 1874, a morphine derivative called diacetylmorphine-commonly known as heroin-was developed. Nearly twice as potent as morphine, heroin was marketed for a short time by Bayer, starting in 1898. However, it was just 16 years later in 1914 that the possession of morphine, heroin, and cocaine without a prescription was outlawed in the US due to the highly addictive nature of these substances.
Development of Inhalant Anesthetics
Oral and inhalant anesthetics were utilized historically by Muslim anesthesiologists, and the use of these preparations was well known in the Islamic Empire. Several hundred surgical operations were performed which used sponges soaked in narcotic preparations, placed over the face of the individual undergoing surgery.
In the Western world, the development of inhalant anesthetics, along with the use of sterile surgical techniques developed by Joseph Lister, was one of the main keys to performing successful surgery in the nineteenth century.
During the nineteenth century, both carbon dioxide and nitrous oxide were used in experimental surgical procedures. While the use of carbon dioxide as an anesthetic never became popular, nitrous oxide did in fact become very widely used.
The anesthetic properties of nitrous oxide were first noted by Humphry Davy, a British chemist, in a paper published in 1800. However, it was not until several decades later in the 1840s that nitrous oxide became more widely used. One of the first successful uses of the gas for painless tooth extraction was carried out by American dentist William Thomas Green Morton, in 1846.
During the same decade, an inhalant anesthetic called diethyl ether was also used for tooth extraction. Diethyl ether was originally synthesized by German physician Valerius Cordus in 1540; however it was not until the 1840s that the first public demonstration of the use of ether occurred. A decade earlier, in the 1830s, chloroform had also been developed. This became more popular in Britain, but even so the dangers of both ether and chloroform were well-noted.
Choose a Surgeon for a Tummy Tuck or a Mommy Makeover procedure
After the decision to get abdominoplasty, the selection of plastic surgeon is the most crucial consideration. The results of a tummy tuck could continue the remainder of a person’s life, so it’s crucial that you decide on a doctor who’ll provide a beautiful, natural result. Moreover, with a top quality surgeon, patients are likely to have fewer hazards and also a quicker healing.
An experienced plastic surgeon should have at least five years of health training, with at least two of them focused on plastic surgery
Training and Affiliations
A qualified plastic surgeon should have at least five years of health training, with at least two of them focused on plastic surgery. For best results, patients should also try to find a doctor who has been working professionally for a number of years. In addition, they should always choose a physician who is accredited by the American Board of Plastic Surgery.
All hospitals run entire background checks, so if the doctor does not have privileges, there is serious cause for concern. Additionally, when the physician is certified to work in the hospital, there is a safe place for to go in the improbable event that a there are surgical complications.
While all plastic surgeons are allowed to perform tummy tucks, patients should search for a doctor who performs this process on a regular basis. Also, it is essential to locate a surgeon who has the expertise as well as tools required to perform several types of tummy tucks, including complete, mini, endoscopic, extensive, and circumferential processes. If a patient needs to combine their tummy tuck with another form of body contouring, they should locate a physician who has significant experience with these processes also.
Many physicians have before-and-after galleries of their past processes. Prospective new patients should have a look at these photos and ask themselves whether they think the surgeon’s work is satisfactory. They could also assess the doctor’s record together with the state medical board to make sure he or she conforms to the highest safety standards and surgical techniques. Each state has slightly different policies. In certain states, patients might have the ability to view these records online, but in others, they may need to request copies through the mail.
An Accredited Surgical Center
While a physician’s associations are undoubtedly important, people should also check to be sure the physician works at a fully accredited facility. In case the physician will not perform processes in a hospital, they ought to try to find certification by the American Associations for Accreditation of Ambulatory Surgery Centers. This accreditation indicates the facility follows all appropriate safety protocol.
A personal Connection
Tummy tucks are very private procedures, and therefore it is very important for patients to pick a surgeon with whom they feel comfortable. When speaking to potential doctors, individuals should ask themselves:
Does the doctor listen to my personal issues?
Does he or she seem willing to tailor my procedure to satisfy my goals or do they provide a one-size-fits-all procedure?
Is the doctor forcing me to get processes I usually do not want?
Do I feel relaxed in the office? Does the staff and doctor greet me with a grin?
While safety and experience are, obviously, the top concerns, a personal connection is, in addition, significant when it comes to attaining great cosmetic results.
Video of planning, surgery and after affects: