Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing

Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting w...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Anesthesia and analgesia 2024-02, Vol.138 (2), p.475-479
Hauptverfasser: Chinn, Gregory A, Gray, Andrew T, Larson, Merlin D
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 479
container_issue 2
container_start_page 475
container_title Anesthesia and analgesia
container_volume 138
creator Chinn, Gregory A
Gray, Andrew T
Larson, Merlin D
description Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting with the dissemination of his initial report, which was not widely read nor appreciated at the time. However, the merits of the technique have fueled innovations to meet these challenges over the years. Even today, while epidural anesthesia is widely embraced, particularly in obstetric and chronic pain medicine, the pressures of the operating room for efficiency and a low tolerance for failure, pose modern-day challenges. Here, we revisit Pagés' original report and highlight the key innovations that have allowed for the evolution of this essential anesthesia technique.
doi_str_mv 10.1213/ANE.0000000000006706
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2898314367</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2898314367</sourcerecordid><originalsourceid>FETCH-LOGICAL-c302t-6a7d5e88c92033f005d9670c144fbb22cd70a6f409f8fb2eb06fc38d581399393</originalsourceid><addsrcrecordid>eNpdkEtOwzAQhi0EouVxA4S8ZNEUPxLHZldVLUWqKIuyYGU5fpSgpCl2gtQjcQ4uhqsWhJjNaGb-f0bzAXCF0RATTG9Hj5Mh-hMsR-wI9HFGWJJngh-DfuzShAgheuAshLdYYsTZKehRjlLOKO4Dt_iwXjd1uV7BRRFapSsb7uDy1cK5XSm9hY2D09LYCj6p1ddnGMBp062N9btBG2WTTWk6r6oBxAjBF6t8gCPXRsGsDNEUQtx9AU6cqoK9PORz8DydLMezZL64fxiP5ommiLQJU7nJLOdaEESpQygzIv6lcZq6oiBEmxwp5lIkHHcFsQViTlNuMo6pEFTQc3Cz37vxzXtnQyvrMmhbVWptmy5IwgWnOKUsj9J0L9W-CcFbJze-rJXfSozkjrCMhOV_wtF2fbjQFbU1v6YfpPQbavB0kQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2898314367</pqid></control><display><type>article</type><title>Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing</title><source>MEDLINE</source><source>Journals@Ovid LWW Legacy Archive</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Chinn, Gregory A ; Gray, Andrew T ; Larson, Merlin D</creator><creatorcontrib>Chinn, Gregory A ; Gray, Andrew T ; Larson, Merlin D</creatorcontrib><description>Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting with the dissemination of his initial report, which was not widely read nor appreciated at the time. However, the merits of the technique have fueled innovations to meet these challenges over the years. Even today, while epidural anesthesia is widely embraced, particularly in obstetric and chronic pain medicine, the pressures of the operating room for efficiency and a low tolerance for failure, pose modern-day challenges. Here, we revisit Pagés' original report and highlight the key innovations that have allowed for the evolution of this essential anesthesia technique.</description><identifier>ISSN: 0003-2999</identifier><identifier>EISSN: 1526-7598</identifier><identifier>DOI: 10.1213/ANE.0000000000006706</identifier><identifier>PMID: 38048631</identifier><language>eng</language><publisher>United States</publisher><subject>Anesthesia, Epidural ; Anesthesiology ; Drug Tolerance ; Female ; Humans ; Operating Rooms ; Pregnancy ; Surgeons</subject><ispartof>Anesthesia and analgesia, 2024-02, Vol.138 (2), p.475-479</ispartof><rights>Copyright © 2023 International Anesthesia Research Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c302t-6a7d5e88c92033f005d9670c144fbb22cd70a6f409f8fb2eb06fc38d581399393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38048631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chinn, Gregory A</creatorcontrib><creatorcontrib>Gray, Andrew T</creatorcontrib><creatorcontrib>Larson, Merlin D</creatorcontrib><title>Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing</title><title>Anesthesia and analgesia</title><addtitle>Anesth Analg</addtitle><description>Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting with the dissemination of his initial report, which was not widely read nor appreciated at the time. However, the merits of the technique have fueled innovations to meet these challenges over the years. Even today, while epidural anesthesia is widely embraced, particularly in obstetric and chronic pain medicine, the pressures of the operating room for efficiency and a low tolerance for failure, pose modern-day challenges. Here, we revisit Pagés' original report and highlight the key innovations that have allowed for the evolution of this essential anesthesia technique.</description><subject>Anesthesia, Epidural</subject><subject>Anesthesiology</subject><subject>Drug Tolerance</subject><subject>Female</subject><subject>Humans</subject><subject>Operating Rooms</subject><subject>Pregnancy</subject><subject>Surgeons</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtOwzAQhi0EouVxA4S8ZNEUPxLHZldVLUWqKIuyYGU5fpSgpCl2gtQjcQ4uhqsWhJjNaGb-f0bzAXCF0RATTG9Hj5Mh-hMsR-wI9HFGWJJngh-DfuzShAgheuAshLdYYsTZKehRjlLOKO4Dt_iwXjd1uV7BRRFapSsb7uDy1cK5XSm9hY2D09LYCj6p1ddnGMBp062N9btBG2WTTWk6r6oBxAjBF6t8gCPXRsGsDNEUQtx9AU6cqoK9PORz8DydLMezZL64fxiP5ommiLQJU7nJLOdaEESpQygzIv6lcZq6oiBEmxwp5lIkHHcFsQViTlNuMo6pEFTQc3Cz37vxzXtnQyvrMmhbVWptmy5IwgWnOKUsj9J0L9W-CcFbJze-rJXfSozkjrCMhOV_wtF2fbjQFbU1v6YfpPQbavB0kQ</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Chinn, Gregory A</creator><creator>Gray, Andrew T</creator><creator>Larson, Merlin D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240201</creationdate><title>Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing</title><author>Chinn, Gregory A ; Gray, Andrew T ; Larson, Merlin D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c302t-6a7d5e88c92033f005d9670c144fbb22cd70a6f409f8fb2eb06fc38d581399393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anesthesia, Epidural</topic><topic>Anesthesiology</topic><topic>Drug Tolerance</topic><topic>Female</topic><topic>Humans</topic><topic>Operating Rooms</topic><topic>Pregnancy</topic><topic>Surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chinn, Gregory A</creatorcontrib><creatorcontrib>Gray, Andrew T</creatorcontrib><creatorcontrib>Larson, Merlin D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chinn, Gregory A</au><au>Gray, Andrew T</au><au>Larson, Merlin D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>138</volume><issue>2</issue><spage>475</spage><epage>479</epage><pages>475-479</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><abstract>Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting with the dissemination of his initial report, which was not widely read nor appreciated at the time. However, the merits of the technique have fueled innovations to meet these challenges over the years. Even today, while epidural anesthesia is widely embraced, particularly in obstetric and chronic pain medicine, the pressures of the operating room for efficiency and a low tolerance for failure, pose modern-day challenges. Here, we revisit Pagés' original report and highlight the key innovations that have allowed for the evolution of this essential anesthesia technique.</abstract><cop>United States</cop><pmid>38048631</pmid><doi>10.1213/ANE.0000000000006706</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0003-2999
ispartof Anesthesia and analgesia, 2024-02, Vol.138 (2), p.475-479
issn 0003-2999
1526-7598
language eng
recordid cdi_proquest_miscellaneous_2898314367
source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Anesthesia, Epidural
Anesthesiology
Drug Tolerance
Female
Humans
Operating Rooms
Pregnancy
Surgeons
title Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T03%3A59%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Overcoming%20Obstacles:%20The%20Legacy%20of%20Fidel%20Pag%C3%A9s,%20Founder%20of%20the%20Epidural,%20100%20Years%20After%20His%20Passing&rft.jtitle=Anesthesia%20and%20analgesia&rft.au=Chinn,%20Gregory%20A&rft.date=2024-02-01&rft.volume=138&rft.issue=2&rft.spage=475&rft.epage=479&rft.pages=475-479&rft.issn=0003-2999&rft.eissn=1526-7598&rft_id=info:doi/10.1213/ANE.0000000000006706&rft_dat=%3Cproquest_cross%3E2898314367%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2898314367&rft_id=info:pmid/38048631&rfr_iscdi=true