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16 Surgery and Emotion (Book chapter)

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ISBN: 9781349952601 Year: Pages: 22 DOI: 10.1057/978-1-349-95260-1_16 Language: English
Publisher: Palgrave Macmillan Grant: Wellcome Trust
Subject: Surgery --- Medicine (General)
Added to DOAB on : 2019-01-15 13:34:11
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Abstract

In this chapter I have endeavoured to demonstrate the ways in which an
approach that takes the emotions seriously might nuance and complicate
our understandings of the history of pre-anaesthetic surgery. In general,
historians have tended to focus on the operations of surgical dispassion, or
what we might now term clinical detachment. What this research suggests,
however, is that compassion and emotional expression played a surprisingly
important role in shaping the cultures of early nineteenth-century operative
surgery as well as the identities of its practitioners. In the decades immediately
preceding the advent of anaesthesia, pain became a central concern of
surgical discourse and the response to this concern was shaped by the cultures
of sentiment and sensibility. However, this culture of compassion was
no ‘natural’ reaction to a self-evident problem. Rather, it was a culturally
and historically contingent phenomenon which could be harnessed to the
ideologies and ambitions of medical reform. In the hands of men like John
Bell and Thomas Wakley, the image of the surgeon as a man of refined and
honest sentiment was linked to a critique of the medical and surgical ancien
regime, providing an idealised representation of a more expert, meritocratic
and altruistic profession.

General Anesthesia: From Theory to Experiments

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Book Series: Frontiers Research Topics ISSN: 16648714 ISBN: 9782889197491 Year: Pages: 138 DOI: 10.3389/978-2-88919-749-1 Language: English
Publisher: Frontiers Media SA
Subject: Neurology --- Science (General)
Added to DOAB on : 2016-04-07 11:22:02
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General anesthesia is a standard medical procedure in today's hospital practice. Although in most cases the administration of anesthetics does not affect severely the patients health, side effects of anesthesia are well-known, such as nausea or cognitive impairment. Moreover 1-2 out of 1000 patients under surgery report a partial wake up from anesthesia during the operation. The reason for such a partial lack of control of depth of anesthesia is that medical procedures are highly optimized based on experience but the neural dynamics during general anesthesia is far from being understood. One reason for this lack of understanding is both the complex neural interactions of neurons on different spatial and temporal scales and the poorly understood action of anesthetics on neural populations. For instance, anesthetic agents act on synaptic receptors on a microscopic scale essentially evoking a macroscopic change of population activity, such as Local Field Potentials, EEG/MEG or resulting change of cerebral blood flow. This population effect then triggers the loss of consciousness in patients. This Research Topic aims to address recent theoretical and experimental advances in the field. The theoretical and experimental studies represent a good overview over the current state of research in the field and provides a deeper insight into the underlying neural mechanisms. Each article in the issue focusses on a specific current research topic in general anesthesia research and several articles introduce to the topic in a pedagogical way. The issue covers various types of anaesthesia and the most important topics in the field, such as (but not limited to) recent advances in theoretical models and states of consciousness reflected in experimental data, the connectivity changes observed during anesthesia or effects of specific drugs on brain activity. The introduction style of the papers facilitates the reader to understand the background of the research aspect and even allows readers not familiar with general anesthesia research to enter the research domain. Hence the Research Topic aims to provide on one hand an overview of the current state of the art and on the other hand a good starting point for new researchers in the field.

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