Arthur Ernest Guedel (1883 – 1956) was an American anesthesiologist.
Guedel developed a training school for orderlies and nurses to administer ether anaesthesia. He created a chart to assess the depth of anaesthesia that went on to be used for over 50 years.
Guedel’s research background, combined with experience during peace and war, was the basis for: Inhalation Anesthesia A Fundamental Guide, first published in 1937
- Born June 13 1883 in Indianapolis
- 1886 – Lost three fingers from his right hand aged 13, but despite this he went onto become an accomplished pianist, organist and composer
- 1903-1908 Medical college of Indiana
- 1909 – Opened his first general practice. To supplement his income he provided anaesthetic services to hospitals and dental offices
- WWI – Anaesthetist in the American Expeditionary Forces in France
- 1928 – Clinical professor of anaesthesia, University of Southern California
- 1937 – Published: Inhalation Anaesthesia, a Fundamental Guide
- 1941 – Hickman Medal, Royal Society of Medicine. First recipient from outside the British Isles
- 1950 – Distinguished Service Award of the American Society of Anaesthesiologists
- Died June 10, 1956
Key Medical Attributions:
- Developed the first inflatable cuffs for endotracheal tubes from the fingers of rubber gloves, in the basement of his home
- In 1933 Guedel designed a metal pharyngeal airway moulded in rubber to prevent occlusion by biting. The ‘Guedel’ airway has stood the test of time for nearly 80 years. My father recalls using these earlier models in the 1980’s during time as a volunteer paramedic.
- Guedel classification
- Guedel Oropharyngeal airway
- Guedel laryngeal plug: The laryngeal plug is a little-known device developed by Arthur E. Guedel in the 1930s. The device was an alternative to the inflatable cuff used on tracheal tubes. Guedel did not publish a description of the laryngeal plug and the most detailed description of it was published by Gilbert Troup, an Australian anaesthetist.
- Artur E. Guedel Memorial Anesthesia Center, San Francisco – Opened 1964 [History PDF]
- Guedel AE. A nontraumatic pharyngeal airway. JAMA. 1933;100(23):1862.
- Guedel AE. Nitrous oxide air anesthesia self-administered in obstetrics—a preliminary report. Indianapolis Med. J. 1911;14:476–479.
- Guedel AE. Auscultatory control of vapor anesthesia. Am J Surg [Anesth Suppl] 1919;33:24–26
- Guedel AE. Third stage ether anaesthesia: a sub-classification regarding the significance of the position and movements of the eyeball. Am. J. Surg. (Anesth Suppl.). 1920;34:53–57.
- Guedel AE (1919) Ethyl chlorid-chloroformether anesthesia for rapid induction and minor surgery in war. In: McMechan FH (ed) Year-book of anesthesia and analgesia 1917–1918. Surgery, New York, pp 252–256
- Guedel AE (1919) Auscultatory control of vapor anesthesia. Am J Surg [Anesth Suppl] 33: 24–26
- Guedel AE, Waters RM. A new intratracheal catheter. Anesth Analg 1928;7:238-239
- Waters RM, Rovenstine AE, Guedel AE. Endotracheal anesthesia and its historical development. Curr Res Anesth Analg 1933;12:196–203
- Guedel AE. Inhalation anesthesia—A fundamental guide. The Macmillan Company. 1937
- Guedel AE. Cyclopropane anesthesia. Anesthesiology 1940;1:13–25
- Guedel performed the ‘dunked dog’ experiment. He anaesthetised, intubated and immersed his own dog (nicknamed ‘Airway‘) at the beginning of a lecture he was giving. Following the demonstration, he revived the dog, allowed him to waken, shake-off and exit the theatre to the applause of the audience.
- Developed and overcame addictions to barbiturates and amphetamines to control his insomnia. He would later educate physicians regarding the risks of addiction
- Waters R. Emminent anaesthetists, No. 7: Arthur E. Guedel. Br J Anaesth 1952;24:292–9.
- Baskett TF. Arthur Guedel and the oropharyngeal airway. Resuscitation. 2004 Oct;63(1):3-5. [PMID 15451579]
- Maltby R. Notable Names in Anaesthesia. The Choir Press; pp 84-86 (2013)
- Calverley RK. Arthur E. Guedel (1883–1956) In: Rupreht J, van Lieburg M.J, Lee J.A, Erdmann W. (eds) Anaesthesia. Springer, Berlin, Heidelberg
- Calmes SH. Two Men and their dog: Ralph Waters, Arthur Guedel, and the dunked dog “Airway”. 2004. p37-41 [Wood Library PDF].
- Calmes SH. Dr Arthur Guedel’s Contributions. American Society of Anaesthethiologists. 2008;72(9):14-17
- Haridas RP, Nichols TT. Arthur Guedel’s laryngeal plug. Anaesth Intensive Care. 2013 Jul;41 Suppl 1:16-8. [PMID 23808557]
- Troup G. Anaesthesia in America. Med J Aust 1935;2:857-863
- Troup G. Anesthesia in Australia. Anesth Analg 1935;14:249-252.
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