Scribd
Upload
1K views2 pages

Pioneering Anesthesiology: Ralph Waters

Ralph M. Waters was a pioneer in the field of anesthesiology. He obtained his medical degree from Western Reserve University and began his career in general practice in Sioux City, Iowa, where he later specialized in anesthesia in 1916. Waters established the first academic program in anesthesiology at the University of Wisconsin in 1927. Some of his key contributions included developing the carbon dioxide absorption method and introducing the cuffed endotracheal tube and cyclopropane. He trained many residents who went on to become leaders in the specialty.

Uploaded by

Suresh Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
1K views2 pages

Pioneering Anesthesiology: Ralph Waters

Ralph M. Waters was a pioneer in the field of anesthesiology. He obtained his medical degree from Western Reserve University and began his career in general practice in Sioux City, Iowa, where he later specialized in anesthesia in 1916. Waters established the first academic program in anesthesiology at the University of Wisconsin in 1927. Some of his key contributions included developing the carbon dioxide absorption method and introducing the cuffed endotracheal tube and cyclopropane. He trained many residents who went on to become leaders in the specialty.

Uploaded by

Suresh Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • 1– History of Anesthetic Practice: Discusses the historical development of anesthetic practices, focusing on significant figures like Ralph M. Waters and innovations like the cuffed endotracheal tube.

sir ralph water Millers 7e 1 History of Anesthetic Practice Ralph M.

. Waters was born in North Bloomfield, Ohio, and obtained his medical degree from Western Reserve University in Cleveland. He began his career in general practice in Sioux City, Iowa, and specialized in delivering anesthesia in 1916. Waters established the first academic program of anesthesiology in Madison, Wisconsin, in 1927. His contributions were many and included the carbon dioxide absorption method, endobronchial anesthesia for thoracic surgery, and introduction of cyclopropane. His chief legacy is the many residents he trained who then became leaders within the specialty in the following generation.

In 1923, Ralph Waters (1884-1979), then working as an anesthesia practitioner in Sioux City, Iowa, contacted Jackson and devised a soda lime canister for clinical [Link] canister was attached to a breathing hose close to the face, and although it was cumbersome to use, the device was widely distributed. The in-line soda lime canister launched the academic career of Waters, who later became one of the most prominent figures in anesthesiology during the first half of the 20th century

The cuffed endotracheal tube was promoted by Arthur Guedel (18831956) and Ralph M. Waters (1883-1979) in 1928,and this refinement allowed the use of intermittent, controlled, positive-pressure ventilation and the potential for one-lung ventilation, introduced by Gale and Waters in 1932.

The cuffed endotracheal tube was one solution to the problem of acid aspiration. Authur Guedel and Ralph Waters were motivated to devise a truly closed system of anesthetic administration with carbon dioxide absorption that would conserve anesthetic gases and body heat. Their 1928 report of the cuffed endotracheal tube achieved these goals with the added benefit of protection of the tracheobronchial tree from aspiration. Others had devised cuffed endotracheal tubes before them, but Guedel and Waters used a novel method to demonstrate and promote the safety features of the cuffed tube. Guedel anesthetized and then intubated his pet dog, appropriately named Airway, with a cuffed endotracheal tube. The dog was submerged in a water tank for several minutes and then removed and awakened unharmed. The demonstration was repeated at several meetings, and this publicity enhanced rapid acceptance of the new endotracheal tube. The cuffed tube is regarded today as an effective measure for preventing acid aspiration. Most anesthetic deaths were not attributed to the agent or the method of administration but resulted simply from the patient not taking the anesthetic well. A frequent diagnosis after death during anesthesia was the vague syndrome of status lymphaticus. Although this phrase was convenient for the anesthesiologist to use, it thwarted a review of causes that might help prevent future disasters. A major change occurred in anesthetic practice with the introduction of morbidity and mortality conferences to examine causes of anesthetic accidents. Originally introduced by Ralph Waters in Madison, Wisconsin, these meetings sought to carefully scrutinize anesthetic complications, thereby shifting the focus of investigation from the patient to the provider and the equipment used to deliver the anesthetic.

sir ralph water Miller’s 7e 1 – History of Anesthetic Practice Ralph M. Waters was born in North Bloomfield, Ohio, and obtai
The cuffed endotracheal tube was one solution to the problem of acid aspiration. Authur Guedel and Ralph Waters were motivat

You might also like