226:
362:
47:
400:, developed the idea of injecting the anesthetics through the lumbar space between the 4th and 5th vertebrae, described 43 operations using this technique, provided details on each step and advised on the right dose of anaesthetics (twice as much as was previously recommended in similar techniques). It also explained the effects of gradual insensibility and motor paralysis, the
357:
In 1901, the use of anaesthetics via the epidural space was first reported, mostly for the treatment of urological diseases but not for surgical procedures. Several techniques were developed in the following years, but never became popular for surgical purposes: most institutions made the transition
657:
described what he thought was a new type of regional anesthesia and was credited for some years with the discovery of epidural anesthesia. Only with the passage of time, an
Argentinian scientific journal claimed recognition for the Spanish doctor, who was then given full credit by Dogliotti and the
249:
were overwhelmed. Pagés was sent in July 1909 as part of the medical reinforcements that were to set up several emergency military hospitals in the city. He stayed in
Melilla for two years, first as surgeon's assistant during the six months of the campaign, and later also organizing the improvement
192:
He practised a wide range of traumatological and surgical techniques, both for war injuries and civil purposes, contributed to the modernisation of surgery in Spain and participated actively in the reorganisation of the
Spanish Military Health system in the 1920s. Due to his early accidental death,
345:, where he practiced hundreds of surgical interventions on injured troops. Two of his main contributions during this time are the publication of his seminal article on epidural anesthesia and a series of articles defending early emergency interventions for
297:
Military
Hospital no. 2. Pagés was probably acquainted with the German and French medical literature on previous experiences with anaesthetics in the epidural space and had contact with German surgeons in Vienna who had experimented with that technique.
257:
He left
Melilla in 1911, after he was promoted to first medical officer. He published his first paper in 1912, "The fight against infectious illnesses in campaign", analysing the techniques that Japanese doctors had successfully developed during the
205:
in an upper-middle-class family. His parents were Juan Pagés
Maraque and Concepción Miravé Sesé. His father died when Fidel was 7 and his mother remarried, an episode which would have great effect in the personality of the child.
301:
After his return to Madrid, he continued practising surgery in the
General Hospital of Madrid, publishing several medical articles (he became the editor in chief of the "Revista de Sanidad Militar", English:
408:
and concluded recommending the use of this technique for surgical interventions. The technique was widely put into practice in the following months during the
Spanish campaign in the
250:
of the equipment in mountain ambulances and instructing recruits in the
Medical Corps. He returned to mainland Spain in the meantime, staying for some months in the
266:
in 1913. That same year he married Berta
Concepción Bergenmann y Quirós, a Spanish woman of Spanish-German descent. He returned to Madrid in 1915 to work at the
733:
Herrera A, de las Mulas M (February 1996). "In memoriam Fidel Pagés Miravé (1886-1923) on the 75th anniversary of the publication of "Anesthesia metamérica"".
341:
In 1920 he was assigned to the Emergency Military Hospital in Madrid, although he was stationed briefly in Melilla in 1921 as a result of the Spanish colonial
225:
193:
his pioneering work in epidural anesthesia (or metameric anesthesia as he called it) went unnoticed for many years outside of Spanish speaking countries.
653:
His work had neither been translated nor presented in the few medical congresses of that time and was practically forgotten. In 1931, Italian surgeon
662:
217:, something that would be of importance later in his career when it gave him the opportunity to exchange experiences with surgeons of German origin.
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842:
768:
349:
based on his war experiences (against the general opinion of the time when non-interventionism or late hospitalised intervention was recommended).
306:) and working in the Ministry of War. In 1919 he founded, together with doctor Ramírez de la Mata the "Revista Española de Cirugía" (English:
875:
666:
665:(SEDAR) awards every two years a prize that bears Pagés' name. In addition, the Ministry of Defense of Spain in June 2007 created the
885:
824:
699:
678:
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Tratamiento de las fracturas diafisarias de los huesos largos de las extremidades producidas por proyectiles de arma de fuego
237:
in 1908 and, after one year at the Military Health Academy, received the rank of second medical officer in June 1909. The
251:
263:
95:
643:
890:
267:
275:
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213:, where he received his degree in Medicine and Surgery with honors in 1908. During these years he also learned the
149:
639:
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285:, due to his knowledge of German language and his experience in war injuries, he was commissioned to inspect
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91:
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274:. Pagés' prestige grew during his stay in Madrid and he was appointed to attend in several occasions
342:
259:
381:". In the article he explained the technique he had developed in order to be able to inject the
820:
742:
405:
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and which he had applied in Melilla. He served in several Spanish cities and earned a PhD in
782:(3). Madrid, Spain: Ministerio de Defensa, Secretaría General Técnica: 51–55. Archived from
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619:
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was at its peak at this point: the Spanish Army had suffered a series of dramatic defeats (
846:
214:
327:
311:
238:
175:
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Tratamiento de las fracturas de olécranon por el enclavamiento y la extensión continua
859:
707:
623:
386:
79:
293:. During these months he also practised a great number of surgery operations in the
254:. During his stay in Melilla he gained fundamental experience in emergency surgery.
390:
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from a slight sedation to twilight sleep to heavy sedation to general anaesthesia.
310:), where he published a great number of comments and articles about anesthesia (on
234:
145:
17:
814:
382:
282:
618:
In 1922 Pagés was promoted to Major Medical. On 21 September 1923 he died in a
365:
Original drawing by Fidel Pagés explaining the technique of epidural anesthesia
46:
642:, the Queen unveiled a plaque in his memory; another plaque was placed in the
186:
118:
135:
816:
The history of anesthesia: proceedings of the Fifth International Symposium
746:
630:, while returning to Madrid with his family from their summer vacation in
229:
Pagés visiting injured soldiers at the Docker Hospital in Melilla in 1909.
593:
La gastroentrostomia con collar epiplóico y heridas abdominales de guerra
183:
115:
813:
J. C. Diz; A. Franco; D. R. Bacon; J. Rupreht; J. Alvarez, eds. (2002).
270:. That same year he placed first in a competition for a position at the
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21:
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60:
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I. Velázquez Rivera; M. Ramón Rodríguez; A. Robledo Aguilar (2003).
360:
224:
638:. After his death, many tributes were performed in Spain. In the
663:
Spanish Society of Anesthesiology, Reanimation and Pain Therapy
409:
396:
The article explained how Pagés, who had frequently performed
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untouched and without the need to reach complete anesthesia.
373:" (i.e. metameric anesthesia or epidural anesthesia) in the "
432:
La lucha en campaña contra de las enfermedades infecciosas
728:
726:
724:
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Contribución al estudio de la cirugía plástica de mejilla
201:
Fidel Pagés was born and grew up in the Spanish city of
369:
Fidel Pagés published an article in July 1921 called "
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Award for Military Health Research Fidel Pagés Miravé
278:, with whom he would develop a personal friendship.
155:
141:
131:
109:
101:
87:
68:
53:
37:
209:In 1901 he started his studies of Medicine at the
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806:
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483:Un caso de estrangulamiento retrógrado de epiplón
735:Revista española de anestesiología y reanimación
28: and the second or maternal family name is
553:La anestesia espinal completa de Le Filliatre
8:
174:(26 January 1886 – 21 September 1923) was a
533:La anestesia intrarectal de Víctor Horsley
45:
34:
840:Premio Nacional de la SEDAR - Fidel Pagés
573:La utilización de las fascias en cirugía
419:
182:, known for developing the technique of
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769:"Fidel Pagés Miravé, cirujano militar"
603:Aspectos quirúrgicos del estreñimiento
503:La anestesia intratraqueal de Meltzer
473:La teoría y práctica del injerto óseo
7:
452:Tratamiento incruento de los tumores
543:La anestesia intravenosa de hedonal
650:in Melilla was renamed after him.
646:in San Sebastián; and in 1926 the
14:
614:Death and posthumous recognition
252:Military Hospital of Carabanchel
881:20th-century Spanish physicians
679:History of neuraxial anesthesia
245:) and the medical services in
1:
442:Patogenia de las bradicardias
338:'s total spinal anesthesia).
272:Provincial Hospital of Madrid
150:Provincial Hospital of Madrid
819:. Elsevier. pp. 205–6.
314:'s endotracheal anesthesia,
96:Central University of Madrid
20:, the first or paternal
876:19th-century Spanish people
375:Revista Española de Cirugía
353:Work on epidural anesthesia
334:intravenous anesthesia and
907:
640:Urgency Hospital of Madrid
523:La cánula de Trendelenburg
379:Revista de Sanidad Militar
308:Spanish Journal of Surgery
304:Journal of Military Health
15:
307:
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165:
124:
44:
886:Spanish military doctors
513:El aparato de Ombredanne
197:Early life and education
706:(13): 1. Archived from
655:Achille Mario Dogliotti
700:"Epidural Anaesthesia"
366:
230:
211:University of Zaragoza
92:University of Zaragoza
704:Update in Anaesthesia
364:
228:
698:Leon Visser (2001).
583:Anestesia Metamérica
371:Anestesia Metamérica
276:Queen María Cristina
658:medical community.
291:Austria and Hungary
891:People from Huesca
845:2010-06-18 at the
398:spinal anesthesias
367:
347:abdominal injuries
343:disaster of Annual
260:Russo-Japanese War
235:Army Medical Corps
233:Pagés entered the
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172:Fidel Pagés Miravé
39:Fidel Pagés Miravé
644:Military Hospital
611:
610:
406:contraindications
243:Barranco del Lobo
169:
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102:Years active
72:21 September 1923
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287:prisoners of war
281:In 1917, during
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76:(aged 37)
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826:0-444-51003-6
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789:on 2009-12-27
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710:on 2010-09-05
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849:(in Spanish)
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791:. Retrieved
784:the original
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741:(2): 59–66.
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712:. Retrieved
708:the original
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336:Le Filliatre
318:'s inhaler,
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146:Spanish Army
142:Institutions
125:
74:(1923-09-21)
29:
25:
18:Spanish name
871:1923 deaths
866:1886 births
402:indications
383:anesthetics
377:" and the "
283:World War I
860:Categories
714:2010-06-07
685:References
316:Ombredanne
187:anesthesia
132:Profession
119:anesthesia
289:camps in
178:military
136:Physician
105:1908-1923
88:Education
843:Archived
673:See also
184:epidural
116:epidural
16:In this
747:8869650
634:, near
632:Cestona
626:, near
385:in the
332:hedonal
324:cannula
312:Meltzer
247:Melilla
180:surgeon
176:Spanish
160:Surgery
82:, Spain
63:, Spain
22:surname
823:
793:26 May
745:
628:Burgos
423:Title
295:Vienna
264:Madrid
221:Career
203:Huesca
61:Huesca
30:Miravé
787:(PDF)
772:(PDF)
607:1923
597:1922
587:1921
577:1921
567:1919
557:1919
547:1919
537:1919
527:1919
517:1919
507:1919
497:1919
487:1919
477:1918
467:1914
457:1913
446:1913
436:1912
426:Year
26:Pagés
821:ISBN
795:2010
743:PMID
661:The
404:and
69:Died
54:Born
622:in
410:Rif
330:'s
322:'s
24:is
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803:^
780:59
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755:^
739:43
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723:^
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669:.
412:.
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32:.
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