Journal of Anesthesia

, Volume 22, Issue 4, pp 483–486 | Cite as

Harvey Cushing, a pioneer of neuroanesthesia

  • Csilla Molnár
  • Csaba Nemes
  • Sándor Szabó
  • Béla Fülesdi


Harvey Cushing’s name is most frequently mentioned in conjunction with Cushing’s syndrome, and Cushing’s reflex following raised intracranial pressure. The aim of this review is to pay tribute to Cushing’s contribution to anesthesia. Besides his own specialty, he used an anesthesia chart for the first time, he introduced blood pressure measurement and precordial auscultation to anesthesiological practice, he employed the first independent neurosurgical anesthetist, and he described the terminology of regional anesthesia.

Key words

Neuroanesthesia History of anesthesia 


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  1. 1.
    Cushing H. Concerning a definite regulatory mechanism of the vasomotor centre which controls blood pressure during cerebral compression. Bull Johns Hopkins Hosp. 1901;126:289–292.Google Scholar
  2. 2.
    Firlik KS, Firlik AD. Harvey Cushing, M.D.: a Clevelander. Neurosurgery. 1995;37:1178–1186.PubMedCrossRefGoogle Scholar
  3. 3.
    Cushing HW. Letter to FA Washburn, Anesthesia charts of 1895. Treadwell Library, Massachusetts General Hospital.Google Scholar
  4. 4.
    Beecher HK. The first anesthesia record: Codman, Cushing. Surg Gynecol Obstet. 1940;71:689–694.Google Scholar
  5. 5.
    Hirsch NP, Smith GB. Harvey Cushing: his contribution to anesthesia. Anesth Analg. 1986;65:288–293.PubMedGoogle Scholar
  6. 6.
    Beecher HK, Altschule MD. Medicine at Harvard. The first three hundred years. Boston: The University Press of New England; 1977. p. 334–426.Google Scholar
  7. 7.
    Division of Surgery of the Medical School of Harvard University. Report of research work. Harvard Bulletin. 1904;1:1903–1904.Google Scholar
  8. 8.
    Cushing HW. Some principles of cerebral surgery. JAMA. 1909;52:184–192.Google Scholar
  9. 9.
    Shephard DA. Harvey Cushing and anesthesia. Can Anaesth Soc J. 1965;12:431–442.PubMedCrossRefGoogle Scholar
  10. 10.
    Cushing HW. Instruction in operative medicine. Bull Johns Hopkins Hosp. 1906;17:123–143.Google Scholar
  11. 11.
    Cushing HW. On routine determinations of arterial tension in operating room and clinic. Boston Med Surg J. 1903;148: 291–312.Google Scholar
  12. 12.
    Fulton JF. Harvey Cushing: a bibliography. Oxford: Blackwell; 1946. p. 578.Google Scholar
  13. 13.
    Cushing HW. Cocaine anesthesia in the treatment of certain cases of hernia and in operations for thyroid tumors. Bull Johns Hopkins Hosp. 1898;9:192.Google Scholar
  14. 14.
    Atkinson RS, Boulton TB, editors. The history of anesthesia. London: Royal Society of Medicine Services; 1956. p. 525–528.Google Scholar
  15. 15.
    Cushing HW. The employment of local anesthesia in the radical cure of certain cases of hernia, with a note upon the nervous anatomy of the inguinal region. Ann Surg. 1900;31:1–34.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Society of Anesthesiologists 2008

Authors and Affiliations

  • Csilla Molnár
    • 1
  • Csaba Nemes
    • 1
  • Sándor Szabó
    • 2
  • Béla Fülesdi
    • 1
  1. 1.Department of Anesthesiology and Intensive CareUniversity of Debrecen Health and Medical Science CenterDebrecenHungary
  2. 2.Department of NeurosurgeryUniversity of Debrecen, Health and Medical Science CenterDebrecenHungary

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