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ANESTHESIA AT THE YEAR 1001. ADNAN ABDALLAH ALMAZROOA ANESTHESIA DEPARTMENT FACULTY OF MEDICINE KING ABDALAZIZ UNIVERSITY. Anesthesia AT 1001. 1. Pain relief 2. Anesthesia 3. Resuscitation. 1. Pain relief. Graeco Roman era Islamic era. Graeco Roman era. - PowerPoint PPT Presentation
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ANESTHESIA AT THE YEAR 1001
ADNAN ABDALLAH ALMAZROOA
ANESTHESIA DEPARTMENT
FACULTY OF MEDICINE
KING ABDALAZIZ UNIVERSITY
Anesthesia AT 1001
1. Pain relief
2. Anesthesia
3. Resuscitation
1. Pain relief
Graeco Roman era
Islamic era
Graeco Roman era
Celsus 1st century Opium and mandrake.
Galen 2nd century consider it as a dangerous drug used only in colics and very severe pain.
Paulus 7th century didn’t use it in the trochisks acting as anodynes
Graeco Roman era The state of intillctual stagnation prevailed in
Europe in the middle ages , together with the theological doctrine that pain serves God’s purpose and must not be alleviated, it militated
against the improvement in methods of narcosis. There was no standardization of these drugs or regulation of their dosage.
Cumston, Campbell, Nuland, Bickers and Desnos
Islamic Era Ibn Sina , Al Razi, Al Bagdady and IbnElkuff
paid great importance to the Physiology of
pain and its management
– underlying cause
– analgesics
Islamic Era Anaesthetic were considered one of
analgesics.
*wide range of medical plants
*ice or ice cold water
Islamic Era Opium the most powerful Mandrake Papaveris Henbane Hyocyamus Hemlock Solanum Wild lettuce only for insomnia
Islamic Era Pharmacology of Narcotics
– Mode of action
– Potency
– Uses
– Forms
Pharmacology of Narcotics Mode of fraudes
Active ingredients
Specific action
Action on different system
Dose-toxic dose
Antidote
Islamic Era The Muslims were given the credit for
developing the science of Botany, and Ibn El Bitar’s book Al Gami Al Kabir is the most original among the Arabic Materia Medica.
Dickinson 1875, Cumston 1968 & Margotta 1968
Islamic Era“ The medicinal substances found in
Dioscorides in its scientific form is an Islamic creation”
(Cumston 1968)
II . Anaesthesia AL-Hawi fit-tibb Al-Razi
AL-Qanon fit-tibb Ibn Sina
AL-Tasrif Albucasis
AL-Mukhtarat fit-tibb AL-Bagdadi
AL-Omda Fil AL-Jiraha IbnEL-Quff
AL-Tayseer Ibn Zuhr
II . Anaesthesia
Documantation of the use of
ALMURQUID
Anesthesia techniques
Anesthesia personnel
Monitoring
Documentation of the use of ALMURQUID
WAFAITULAIAN
ALBIDAIA WALNIHAIA
DICTIONARIES
SAYED ALKHATER
Al-Murquid
Literally, Al-Murquid in Arabic means:
“drug that induces deep sleep”
BHANJ
TANWIM
Anaesthesia techniques
Al-Murquid
INGESTION
RECTAL
INHALATION
Anaesthesia techniques
Ingestion of the Infusion…
Solanum Canabis Opium Mandrake
Anaesthesia techniques
Rectally on a plug changed hourly…
Canabis Opium Mandrake
Anaesthesia techniques
Inhalation – Odourants of powder of Opium,camphor,roses seeds &mandrake
Spongia Somnifera Opium,mandrake & black poppy
Ellis 1946
Anaesthesia techniques Precisely determined
– Required dose
– Anesthesia duration
One mithkal of Mandrake 3-4 hrs
Ibn Sina
Anaesthesia personnel
–ALTABAAEI (THE PHYSICIAN)
–ALJARAAEHI (THE SURGEON)
THE ANAESTHESIOLOGIST IbnEL-Quff
MONITORING
ALTABAAEI’S finger should be on thepulse while ALJARAAEHI is performingthe surgery.
Intra-operative monitoring by palpation.
III- Resuscitation
Resuscitation team
Upper airway obstruction
Tracheotomy
Use of bellows
Nutrition
Resuscitation
Resuscitation team – ALTABAAEI (THE PHYSICIAN) – ALJARAAEHI (THE SURGEON)– Have been called to resuscitate war
trauma case
Osama Ibn AL-Munquiz
Resuscitation
Management of upper airway obstruction according to Ibn Sina :
1st clearing the secretion
2nd tube to assist breathing
3rd tracheotomy Brendt & Georig
Management of upper airway obstruction
In management of suffocation
– First
Ibn Sina tried coservative meassures including clearing of secretion using a wicker stick covered with a piece of cotton wool
Management of upper airway obstruction
In management of suffocation
- Second
Introduction of a gold or silver tube to the throat to assist breathing
- Third Tracheotomy
Tracheotomy
Aretaeus 2nd century
Aurelinus 4th century didn’t approve
Paulus 7th century only described
Al-Razi 9th century case report
Ibn Sina 10th century spoke favourably
Tracheotomy
Al-Zahrawy 11th century reported succesful management of suicidal cut wound of trachea & concluded it is not dangerous
Ibn Zuhr 12th century detail of animal experiment of performing tracheotomy on Goat that completely recovered
Ibn ElQuff &Al-Bagdadi no reservation ,considered as mode of managing upper a-w obstruction
Resuscitation
Respiratory resuscitation using bellows
Salih Ibn Bahla reported a case of a patient who was pronounced dead , but later on was successfully resuscitated by insufflating air and soap root powder in his nose.
Nutrition
Entral feeding
– Oraly via silver or tin tube gently introduced to the throat
– Rectaly using goat bladder
Ibn Zuhr
Thank you