Needle, peridural anesthesia





In 1884, Koller demonstrated the local anaetetic effect of cocaine. A Spaniard promptly wrote the first description of a PDA. However, according to common opinion, in 1884/85 the American CORNING was the first to use the PDA ...

Oskar KREIS (1872-1958), who worked as a gynecologist and obstetrician in Basel after training at the Basel University Women's Hospital, carried out spinal anesthesia in six pregnant women in 1900 as an analgesic measure for the relief of labor pain. As a local anesthetic cocaine was used, the local anesthetic effect was detected after spinal injection in 1898 by beer.

After spinal anesthesia was rediscovered in 1901 by two French doctors at the TENON hospital, she was once again in vain. Spinal anesthesia has only gained in importance as a technique of obstetric anesthesia in recent decades.

The "subarachnoid block" was used in 1901 by the urologist CATHELIN, almost at the same time describing his compatriot, the surgeon SICARD the advantages of an extra-dural anesthesia. He has the merit of having "opened" the peridural space for anesthesia. In the same year KREIS used the PDA at a birth. In the following years, LAEWEN developed "epidural sacral anesthesia" as a fully clinical method. In 1909 STOECKEL introduced the PDA into obstetrics.

In 1920, the Spaniard PAGES discovered the possibility of puncturing the PD space in a lumbar fashion. The LOR (loss-of-resistance technique) was initiated in 1921 by Sicard and Forestier. For the first time in Italy, DOGLIOTTI reported on systematic clinical studies in humans in 1931, and GRAFFAGNINI and SEYLER introduced the first one-shot peridural in this year.

Since the 1930s, the method has been increasingly used in the district halls, especially in the Anglo-Saxon countries. In the 1960s, it also spread to the continent: in 1983, its use in France varied between 0 and 100%, depending on the clinic: in large hospitals, 20-50% of pregnant women were given PDA.

Several models were offered by the Gembloux factory in 1942: Aiguilles dr. LUPOUY, Dr. TUFFIER, dr. DELMAS, dr. LABORDE. All 4 needles had an outer diameter of 1.2 mm, a stylet of 1.0 mm diameter. They were available in stainless steel, nickel and platinum, in lengths between 5 and 10 cm.


About our items
- In the upper part of the picture, the 10 cm long LABORDE needle with "canon à double ailette et mandrin ajusté" (Catalog Manufacture Belge de Gembloux 1942 S 43). Jean-Baptiste-Vincent LABORDE (born 1830 in Buzet-sur-Baïse, died 1903 in Paris) was professor of physiology in Paris, later head of the anthropological laboratory. From 1887 member of the Académie de Médecine.
He was interested in breathing, the biliary tract, the apparent death, but also the CNS. Together with CORNIL and VULPIAN he discovers the characteristic changes of the spinal cord in poliomyelitis. As part of the investigations of the spinal cord was apparently the idea for this original spinal needle ...

- In the lower part of the picture several newer models of different fabrication. Almost all have color graded markings on which the penetration depth can be read.