Horace Wells as a classic tragic hero.

Horace Wells is discussed in a literary manner as a classic tragic hero. Wells' apparent failed end is not the ultimate truth concerning him. His story helps us see and confront life. Many of the scientific, personal, and social issues he grappled with are relevant to us today such as human experimentation and drug addiction. His idealism and romantic pursuit are to be admired. We benefit today from the achievements of his daring and fateful quest.

The history of modern anesthesia technology - A critical reappraisal (Part II) An international comparison of contemporary devices and of nitrous-oxide-based anesthesia (c. 1900-1930s)- recognizing another changing evidence-base.

This paper is the continuation (Part 2) of an extensive, critical reappraisal of the international historiography on modern anesthesia and its technology. The first paper of this series provided general definitions, backgrounds and an update on recent research on one aspect of this topic: the history of professionalization / specialization (Part 1).1This paper goes on to provide a first, international comparison of entire anesthesia devices and on the history of nitrous-oxide-based anesthesia (c. 1900-1930s). Results: A comparative chronology of internationally recognized milestones of entire anesthesia machines does not suggest significant differences between the nations of continental Europe on one side, or the USA and Britain on the other. The international historiography on one of the key techniques for which these devices were designed (nitrous-oxide-based anesthesia), is likewise demonstrably biased. These findings are further evidence that a frequently held hypothesis, which suggests national dominances in these fields, is incorrect. Contributing factors and wider contexts of this phenomenon can be further confirmed: These are an under-recognition of non-Anglo-American (particularly continental-European) and of primarily surgical contributions; contemporary international conflicts and inter-professional demarcation disputes. In addition, it can be shown that these phenomena had already started around the same time (c. 1900s-1930s). There also is evidence to suggest that they were at times reciprocal and quite deliberate. The author illustrates and argues that the currently prevalent historiography on modern anesthesia requires a thorough reassessment. This should be based on a perspective of internationalism and transdisciplinary reciprocity and should recognize much broader historical contexts.

"To nitrous oxide, chloroform gives way": Was Dr. W.J.A. DeLancey's poetic license in advertising inspired?

Born in New Hampshire but raised in Massachusetts, 14-year-old William J.A. DeLancey became "the man of the house" after the accidental death of his father. Amiable and good humored, young DeLancey supported his widowed mother and his three sisters until the girls all reached maturity. After he married, DeLancey moved to Illinois and took up dentistry, eventually settling in Centralia. Following anesthesia training back east at Manhattan's Colton Dental Association, DeLancey returned to Centralia. There he practiced the Coltonian method of testing freshly made nitrous oxide upon himself before using the gas upon patients. Before his training at Colton Dental, DeLancey had advertised in Centralia newspapers only in prose. After he began administering laughing gas to his patients and to himself, DeLancey waxed poetic and began advertising in heroic couplets in local newspapers.

From Colton's guess to Andrews' table to Bunnell's paper to Spencer's card: Misleading the public about nitrous oxide's safety.

Famous for pioneering the oxygenation of nitrous-oxide anesthetics, Chicago surgeon Edmund Andrews trusted the Manhattan-based Colton Dental Association's claim that they had conducted 75,000 nitrous-oxide anesthetics without a single mortality. Those statistics were cited in Andrews' 1870 journal article on anesthetic risks and then, remarkably, advertised on the business cards of dentist James M. Spencer, Jr., of Gouverneur, New York.

From ACE to ACENO: How America's Munson added Harley's British mixture to nitrous oxide.

An Ohio dentist, Corydon Munson, patented a gasometer with an attachment for vaporizing trace amounts of volatile general anesthetics or their mixtures into unoxygenated nitrous oxide. After vaporizing a variant of George Harley's ACE mixture into nitrous oxide, Munson branded his own novel anesthetic combination as ACENO.

Emerging from tabloid scandal: Dr. U.K. Mayo's Vegetable Vapor extends nitrous oxide's anesthetic duration.

Urial K. Mayo (1816-1900) was a successful Boston dentist who was plagued by personal scandal. In 1883 he patented extending the duration of nitrous-oxide anesthesia with an alcoholic tincture of hops and poppies.

Henry Jacob Bigelow Inhaled Nitrous Oxide While an Undergraduate at Harvard College.

When teenaged Henry Jacob Bigelow was an undergraduate at Harvard College in 1833-1837, he prepared nitrous oxide gas for demonstrations to other students. Bigelow's son, William Sturgis Bigelow, related the claim, and there is an eyewitness account from Augustus Goddard Peabody, a fellow Harvard undergraduate with Bigelow. Peabody wrote to Henry David Thoreau about a nitrous frolic. College chemistry primed Bigelow to support the concept of inhaled surgical anesthesia when the idea came to Boston in 1845-1846. Bigelow's chemistry professor was John White Webster. According to Harvard alumnus Edward Everett Hale, in addition to demonstrating effects of nitrous oxide, Webster presciently treated two cases of carbon monoxide poisoning with copious volumes of synthetic oxygen gas. The career of Webster was inhibited by financial difficulties that were suspected to be contributory when he was convicted of the 1849 murder of physician George Parkman at the Harvard Medical School, then adjacent to Massachusetts General Hospital and its Ether Dome. Webster suffered the death penalty in 1850.

Divine's CO2 Absorber of 1867.

Chemist and inventor Silas R. Divine (1838-1912) sold ammonium nitrate and other anesthesia supplies in New York City. He offered a carbon dioxide absorber for the purpose of rebreathing nitrous oxide. Like his colleague Gardner Q. Colton, he denied the need for nitrous oxide to be supplemented with O2 gas.

George Washington Frost Mellen and Resuscitation with Nitrous Oxide in 1847.

In The Boston Medical and Surgical Journal of 1847 (later to be called The New England Journal of Medicine), Boston chemist George Washington Frost Mellen claimed that inhaled nitrous oxide gas supports human life in the manner of oxygen gas, and he proposed the use of nitrous oxide in resuscitation from drowning and from carbon monoxide poisoning. The claim was reprinted in at least one dental journal and was long cited as justification for the use of 100% nitrous oxide for inhaled anesthesia. Advocates included anesthesia pioneer and painless dentist Gardner Quincy Colton. Though misguided as to nitrous oxide, Mellen was a prominent member of the Boston community for the abolition of slavery.

James M. Osgood: An Inventor Behind Sprague's "Self-Watching" Apparatus for G.Q. Colton's Revival of Nitrous-Oxide Anesthesia.

Inventor J.M. Osgood enabled a fellow Massachusetts inventor, A.W. Sprague, to manufacture heat-regulated nitrous-oxide generators. These generators assisted New Yorker G.Q. Colton in opening exodontia franchises nationwide which revived the use of nitrous-oxide anesthesia.

Phineas T. Barnum, Gardner Q. Colton, and Painless Parker Were Kindred Princes of Humbug.

Phineas T. Barnum (1810-1891) and Gardner Q. Colton (1814-1898) both entered the laughing gas show business in Manhattan in 1844. With Horace Wells (1815-1848), Colton introduced inhaled nitrous oxide for dental anesthesia in December 1844. The Barnumesque nature of laughing gas exhibitions may have contributed to the initially negative reception of nitrous anesthesia as humbug. Colton continued laughing gas shows after 1844, and he performed in a Barnum forum in Boston in 1862. In 1863, Barnum encouraged Colton to establish a flourishing painless dentistry practice in Manhattan. Barnum designated himself to be the Prince of Humbug. He embraced humbug for entertainment purposes but decried medical humbug. Notwithstanding, Barnum explicitly evinced awareness of the power of the placebo response. Accordingly, the proneness of individuals to deem impersonal all-purpose assessments to be personally applicable is dubbed the Barnum effect. Barnum was indirectly connected to Painless Parker (1872-1952), a dentist who exploited sensational advertising and humbug and ran a circus.

From Dental to Mental Institutions: A Quadruple Threat of Nitrous-Oxide Administration Before and During Mental Asylum Admission.

During the 19th century, patients undergoing anesthesia for surgical and dental procedures were at risk of being given hypoxic or dilute nitrous oxide on four separate occasions. Primary and secondary saturation during surgery could account for two administrations of 100% nitrous-oxide anesthesia, while both diagnostic and therapeutic doses of dilute nitrous oxide were frequently administered in mental asylums.

From Dental to Mental Institutions: Elmer McKesson's Secondary Saturation with Nitrous Oxide.

As popularized by Elmer McKesson, MD, "secondary saturation" with nitrous oxide could expose patients to a second burst of 100% laughing gas to relax their muscles to assist surgeons. On rare occasions, this technique could provide a second opportunity for hypoxic brain damage and possible admission postoperatively to insane asylums.

A Nitrous-Oxide Pioneer Peddles His Own Dentifrice: "Dr Colton's Vegetable Dentonic".

During the latter half of the six-year long "Panic of 1873," nitrous-oxide pioneer G.Q. Colton developed, advertised, and sold his dentifrice, "Dr Colton's Vegetable Dentonic" to supplement his dental anesthetic enterprise.

From Dental to Mental Institutions: An American Dentist and a British Psychiatrist Highlight Insanity Following Nitrous-Oxide Administration.

In 1887, American dentist Samuel J. Hayes published reports associating unoxygenated anesthetics with asphyxia and insanity, and then British psychiatrist George H. Savage published a report of cases of insanity following nitrous-oxide anesthesia in British journals.

Frozen in Time: A History of the Synthesis of Nitrous Oxide and How the Process Remained Unchanged for Over 2 Centuries.

Three major factors have contributed to the unrivaled popularity of nitrous oxide (N2O) among anesthetists in the 20th century and beyond: its impressive safety profile, its affordability, and its rapid induction and emergence times. These 3 characteristics of N2O have been discussed and written about extensively throughout the medical literature. Nonetheless, the characteristic that contributed most to N2O's initial discovery-the elegance and simplicity of its synthesis-has received substantially less attention. Although N2O was first used as an anesthetic in Hartford, CT, in 1844, it had been identified and synthesized as a distinct gas in the late 18th century. In this article, we track the developments in the recognition and early synthesis of N2O, highlight the major players credited with its discovery, and examine its evolution from the late 1700s to today. The discovery and assimilation of N2O into common medical practice, alongside ether and chloroform, heralded a new paradigm in surgical medicine-one that no longer viewed pain as a fundamental component of surgical medicine. Its continued usage in modern medicine speaks to the brilliance and skill of the chemists and scientists involved in its initial discovery.

William James, Nitrous Oxide, and the Anaesthetic Revelation.

William James greatly influenced the fields of psychology, philosophy, and religion during the late 19th and early 20th centuries. This was the era of Modernism, a time when many writers rejected the certainty of Enlightenment ideals. Positivism, which rose to prominence in the early 19th century, had emphasized physical phenomena, empirical evidence, and the scientific method. Darwin's On the Origin of Species (1859), with its theory of natural selection, provided an explanation for the evolution of species apart from a divine Creator. Within this context, William James served as a "mediator between scientific agnosticism and the religious view of the world." James' own experience inhaling nitrous oxide played an important role in shaping his views. For James, the use of nitrous oxide served a key role in elucidating some of his most central ideas: 1) the value of religion, and the emphasis on mysticism and revelation (as opposed to theology and doctrine) as religion's foundation; 2) the universe as pluralistic (as opposed to absolutist, constant, eternal), driven by chance, experience, and change.

John Snow and the First Second-Gas Effect.

In 1847, British anesthesia pioneer John Snow (1813-1858) observed that patients did not manifest cyanosis during induction with hypoxic mixtures of ether vapor in air. He hypothesized a molecular mechanism that would be understood over a century later as the second gas effect.