Abstract

The history of anaesthesia contains many instances of strongly held beliefs which have subsequently not been substantiated. For example, many children died during anaesthesia because the particular difficulties associated with this age group were not appreciated and death was attributed to a condition named ‘status lymphaticus’ (1); it is clear now that no such condition exists. Similarly for many years it was argued that spinal anaesthesia led to irreversible damage to nerve tissue; this is now known to be avoidable (2). Also it was alleged that the administration of a general anaesthetic to an elderly person frequently led to irreversible central nervous system damage; this has now been refuted (3).

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