}uul11al ofNeurosurgical AI1e5thesi%g.'Vol. 9, No.4, pp. 296-307© 1997 Lippincott-Raven Publishers, Philadclphi

Special Report

CELEBRATING SILVER:

The Genesis of a Neuroanesthesiology SocietyNAS -+ SNANSC -+ SNACC

Maurice S. Albin, M.D., M.Sc (Anes.)

Professor ofAnesthesiology and Neurosurgery, Department ofAnesthesiology,University of Texas Health Center, San Antonio, Texas

Key Words: History: Neuroanesthesiology-Neurosurgical Anesthesiology-Neuro­anesthesiology-Neurosurgical Anesthesiology; NSA: Neuroanesthesia Society; SNANSC:Society of Neurosurgical Anesthesia and Neurological Supportive Care; SNACC: Soci­ety of Neurosurgical Anesthesia and Critical Care

The decade of the sixties was seminal for the developmentof neuroanesthesiology as a definitive subspecialty. Duringthose years, standardization of techniques for measurementof CBF, CMR02, ICP and neurochemical moieties were intro­duced. The physiologic basis of cerebrovascular dynamicswas being established and instrumentation design was spurredby developments in electronics and engineering. Of equalimportantance, research groups of anesthesiologists and neu­rosurgeons were coalescing in Europe and North America toexamine the effects of anesthetics on cerebral blood flow andmetabolism, on cerebrovascular responses of the traumatizedbrain, and the dynamics of intracranial hypertension-to namebut a three areas of investigation. This multidisciplinaryapproach was spurred as neurosurgeons and anesthesiologistscame to realize that they had common ground in their needto clarify essential pathophysiologic problems relating topatient care. Along with those advances, new fmdings in neu­rochemistry and the beginning of important developments in

Address correspondence and reprint requests to Dr. Maurice S. Albinat the University of Texas Health Center, Department of Anesthesiol­ogy, 7703 Floyd Curl Drive, San Antonio, TX, 78284, U.S.A.

296

the (then) new subspecialty of neuroradiology increased thebackground of intellectual ferment that heralded great stridesin the decade of the seventies.

This is not to say that significant advances or discoverieshad not been made prior to the sixties. We are forever indebtedto the works of Amussat, Sherrington, Bernard, Horsley,Macewen, Halsted, Cushing, Kety, and Schmidt, among manyothers. A fine review of the background to the history of neu­roanesthesiology can be found in a recent work by Frost (1).

The academic purview of neuroanesthesiology was pro­moted in 1964 by publication of the first neuroanesthesiol­ogy textbook written in English by Professor Andrew R.Hunter from Manchester (Fig. 1) (2). This was followed in1966 by the first Canadian book in neuroanesthesiology editedby R.G.B. Gilbert (then Chair of the Department of Anaes­thetics at McGill University and Director of Anaesthesia atthe Montreal Neurological Institute) together with Fred Brindleand Anibal Galindo (3). During this time period (1965), Dr.Allan Brown of Edinburgh and Professor Hunter founded theNeuroanesthesia Traveling Club of Great Britain and Ireland,an organization dedicated to furthering the development ofthe neuroanesthesiology as a recognized subspecialty. Alsoof interest was the formation in 1961 of a North American

THE GENESIS OF A NEUROANESTHESIOLOGY SOCIETY 297

FIG. 1. Professor Andrew R. Hunter, pioneering neuroanesthesiologist,author of the first book on neuronesthesia in English (1964), and co­founder of the Neuroanesthesia Traveling Club of Great Britain and Ire­land in 1965.

working group called the Commission on Neuroanesthesia,sponsored by the World Federation ofNeurology, and ini­tially composed ofHoward Terry (Mayo Clinic), Jack Michen­felder (Mayo Clinic), Maurice Albin (Case-Western Reserve),and chaired by R.G.B. Gilbert (McGill). A rapid development

FIG. 2. Maurice S. Albin, M.D., M.Sc. (Anes), one of the original orga­nizers (1972) and founders (1973) ofNAS and its 2nd President.

FIG. 3. Thomas W. Langfitt. M.D. The neurosurgical "Guru" of NorthAmerican Neuroanesthesia-bolh founder and organizer of NAS in 1972and 1973.

of knowledge relating to neuroanesthesiology from centersin Philadelphia, Glasgow, Rochester, Richmond, San Fran­cisco, London, New York, Cleveland, and Montreal was soonto follow.

In May of 1972, Thomas W. Langfitt (Professor andChief of the Division of Neurosurgery at the University ofPennsylvania) was a visiting Professor at the Universityof Pittsburgh. During that sojourn he and I had many con­versations concerning the need to fonn some type of orga­nization for neuroanesthesiologists working closely withneurosurgeons (Figs. 2,3). On returning to Philadelphia,he spoke with James E. Harp (Department of Anesthesi­ology, University of Pennsylvania-Fig. 4) about our con­versations and this resulted in a letter of June 6, 1972, and

FIG. 4. James Harp, M.D., one of the original organizers (1972) andfounder ofNAS (1973).

Journol ofNeurosurgical Anesthesiology, Vol. 9, No.4, 1997

298

U}(IYERSITY of PE}(}(SYLYA}(IAPtUl.ADELPHlA ItlCK

De!'4ttF1lenl 01 Ant'JlheriA'"'00 SpNa5t1fti

JuDe 6, 1972

....uI'1c. S. AU,1n, H.D.Depu"c.nt of AllutaaalolopUllinrdty of PittaburpSchool of KHlctn.Pitt1burlb, PA U211

Ou.. M8\1rh:e:

M. S. ALBIN

UNIVERSITY OF PITT'.Uk~"

SCHOOL 01" MeDICIH!!

I'ITTSBURGH. P8NNSYLVANIA I'll)

DEPAaTlolEHT OF IoNESTHESIOI.OGY

]una 14. 1972

Dr. J•••• R. HerpDaSla~DI of ADe.UwtlIIIUnlvenuyof hn.NIylqnlll

School of MedlcLM](00 Sprue. 8tr..1PhtlAdalpb". Penn.ylwn" ISIOf

H.fIlC_.. H..,Jr04:P..,.......u..--.,.

~'.IE,. iIM &I""' w-..Vna ..W ..,.~I.....Dr

Itr. ~Glfl.tt ~. coa.,.yed to _ yov.r lnCel'''' 111 the for_ulonof .. eub1llac:b lty Iroup La "auraeftuthad•.

WlI! U'. cered"l)' ...t itleare,tH 1n t.bh concept. Dul".l.na"reclnt vidt to Rochuter, 1 talked "Lc.b JClha "Lcb~feld.l' Ibov.t JUltthh, Ind b, ,.reed Uwt ebh 1, tbe eL.e. to cruta '\leb In or'lnlut1l;m.

I vould ....n •• ' v. proceed 1n thl followlnl ..nneI'. rirlt, "'I.,111 cI'I:"ILnly n••d the coope-ncLon of H1ct\enfeldn. Llnoft, SchettlnL,M8tteo, Al Sll.1tb end pertwp. erda Aleunder. lAt .... belLn, tbea, byfOralbtLnl" propo... which VI viII then. 1\I'*1t to tb~l\dl"ldu.b. Illa ..."oMbly confident tbolt dl will rUpOnd hvonbly. Next., VI qbtinvite tho.. of ehh Croup who vhb to do u eo ...t witb u. It cDe fellA.S.A. H"Cing in Bolt.on to lUke fo~l plAne. The lenenl inviutioDcould chen 1M luteltt:6d vie ch. A.S.". N.... I.tter.

Certduly. ve vill be. ve.ry iwIppy to work vltb yO\,l in eccog­plhMnl thh loe.1. The obetetricd enutbethce In4 the endlieIn,.th,thtl hive clurly profited fro. tbelr Illbep,chlty ora_nhetlonlITld it ..... elar to _ thet ve lho\&ld do Uk...,i... I v111 cont.lct youby phone vlchLn che. nut two "'aek. to eliecu•• thie .. tter fllrthar.

SlneeUl·1YOl,Jre,

, . j -"'\\f o'ottt1J1 (}.. Jj ...... t. "'rp. M.D.\

JM:Jv

FIG. 5. Letter from James Harp to Maurice Albin concerning forma­tion of a neuroanesthesia group.

my reply of June 14, 1972 (Fig.5,6). Doctor Harp and Iremained in contact during the remainder of 1972, and wecollated a mailing list of individuals in the United Statesand Canada who might be interested in joining such agroup. We decided that the perfect location for a prelimi­nary meeting would be Philadelphia, in conjunction withthe Sixth International Cerebral Blood Flow Symposium.We were also pleased to have Harvey Shapiro (Universityof Pennsylvania) join our neuroanesthesiology crusade(Fig. 7). The Philadelphia CBF venue was very importantsince many interested anesthesiologists and neurosurgeonswere in attendances. A specimen letter from our commit­tee, announcing the meeting and the suggested goals, canbe seen in Figs. 8 and 9.

Hosted by Drs. Thomas Langfitt and Harry Wollman(Department of Anesthesiology, University of Pennsylva­nia - Fig. 10), the fIrst organizational meeting took placeon June 15, 1973, at the Marriott Motor Hotel in Philadel­phia. It was attended by 36 anesthesiologists and 4 neuro­surgeons (Fig. 11). We named our group the Neurosurgi­cal Anesthesia Society (NAS); a brief portion of the bylawscan be seen in Figure 12. One important outcome of this

Joumal of Neurosurgical Anesthesi%gy, Val. 9. No.4. /997

Deer Doc:tOl" Har,:

Mlny wn'" tor your letter of Juna 6, 1912 In which you Ni.,. Lndlc:.t.ct )'O'Ut

I.nterut In fGnBltIq a 9RlUP tMt wwld be concwned with Neu.RNlIMI.tha.ta.Itl~ld.nt.lly....a all eettllinly tIlIJoyed bIIVLIlO Dr. laftO'fltt vl.lt u. and a. a Nauro­.urvaon ha l2IIIda • very plain and oL.., how much he anJo~ worklnO wlth peopleIn our lP.o...Uywho ....,. oriented tQlQrd.lh. C.N.S.

I do thLnlt thet ...a do haw e built-In orvtn1&lltl0ft81 t)'pe of .Ituatlon Which t•provlded through the Werld Fedentlon of NeurolOO')'. A num..bet of 1M" eoo HowordTelTY. Jack Mlchentald... lIIy..lf Ind I number of other lndlvld"'ll. IncludlnlJ DickGL~rt ftomlha M.N.I. In Clnllde tMClill'le me.ben of tha COlrltnltta. on Nauro­ane.the.1a of the Wocld PederaUon of NeW'Ology. '!hI. atOlnlqUon I••UlI In belngend hal not been reilly functioning at eny level In the United Stet••• I do think ItmlQlht be gOOd to reform tM. 9fOUP becou•• of It. connection. with peopt. In NeurG­.n•.th.... end .1.0 beceu•• of the potential belp It can Olv. UI onoe •• becomeactive. TheN ara maay people Ln Euro,. who IN aemben Ind who hi.,. Clttll1nlycontributed to thla .,.., and I think thl. could alao be Ill. '--pcrt.ent eaPlCt". rn anyca." I c..-telnly coneutwlth you that tt would be a very good 14M to .ollvlt••0Dletype of ;roup _lth th. ld.. of ot l..at MvlnlJ I SW"Illmtnaty ••Unv.t the A.S.A.In Bo.ton thll yur.

PIN•• let me know what you thlnt of thl••nd I.nd my b.et Agent. to youreoUNOU"

Slne....ly.OO;C;flJIS••:.....'if1)y

M. s. A1.6lN. M.O.

Ma...le. S. Albin. M.D.

P.S. Al.o pi.... do not fervet to ..nd my reo;arda to Harry WolllNn.

FIG. 6. Letter from Maurice Albin to James Harp regarding plans fora neuroanesthesia group.

meeting was Dr. Langfitt's willingness to include NAS inthe programs of the Harvey Cushing Society (subsequentlynamed the American Association ofNeurologic Surgeons).

FIG. 7. Harvey Shapiro, M.D., one of the original founders of SNAfirst Secretary and 4th President of SNAKSC. '

THE GENESIS OF A NEUROANESTHESIOLOGY SOCIETY 299

UNIVERSITY Of PENNSYLVA.NIAPHILADELPHIA 19104

D~p{Jrtrn~nt of AnellhejjaHOO Spru<;e Street

May 22, 1973

Maurice S. Albin, H.D. I M.Sc.Department of Anes thealo1ogyUniversity of Pltuburgh Schoolof ttedlcinePittsburgh, fA. 15213

Dear Haurice,

This w11l seoe lUI a final relllinder of the preliminary organizationalmeeting of the Neurosurgical Anesthesia Society to be held in Philadelphlanext month in conjunc:tion with the Sixth International Cerebral Blood Flo...SymposiulIl.

The lIIeeting will take place at ):00 p.llI. .• June 5, 1973 in the Sandle\loodSuite of the Harriott Motor Hotel, Philadelphia, headquarters fort~SYlllPost.um.

We again encloae a tentativl! agenda for this meet!n! and a statement ofproposed goals for the lOoelery. The .tructure and character of the societywill be deterlllined at the June tlleeting. The few of us who have worked toorganize this meeUnl do not .... ish to present you vith a fiat 8ccoapol1.

We look fONard to seeing you in June.

Sincerely yours,

Ha.urice S. Albin, H.D., M.S/:.

~JJ,.~Janoe8 R. Harp, M.D.

-If-~/1;.~Harvey H. Shapiro. M.D.

FIG. 10. Harry Wollman, M.D., one of the founding members ofNASand a host of the 1973 organizational meeting in Philadelphia.

MEMBERS OF THE

~NE:UROSURClCAL ANESTHESIA SOCIETY~

(June 15, 1973)

MSAlJRlt/KMS :..ec

Enclosures

FIG. 8. Specimen letter concerning the preliminary organizational meet­ing of the Neurosurgical Anesthesia Society. This letter was sent out to anes­theSiologists and neurosurgeons thought to be interested in the organization.

SUGGESTED GOALS

1. To identify and discuss clinical problems.

2. To identify neuroanesthesia teaching goals and methods.

3. To discuss ongoing research in neuroanesthesia and possible _

clinical significance of findings.

4. To identify new questions and suggest means for approaching

these. To organize interdepartmental collaborative studies

on various investigative problems in clinical neurosurgical

anesthesia.

5. To provide timely reviews of information c:urrel'l.tly at hand in

spec:ial areas.

6. To provide opportunity for social contact by people of common

interest.

H. Albin. H.D.Plttsburih. PA

s. C. A18xander, 1'1.0.Kadhon, WI

D. P. Becker. H.D.Richmond, VA

R. Bergland, H.D.Hershey, PA

V.L. Brechner, H.D.Los Ange15. CA

G.r. Brindle. H.\/'.Sherbrooke, PQ

E.". Brunner, M.D.Chicaeo. ILL

R.C. Carroll, M.D.Pittsburgh. FA

J.G. hazer, H.D.Cleveland, OH

A, GaUndo, M.D.S.attle. lolA

R.C.8. Gilbert, H.D.Honcreal, CANADA

t.S. Gilbert, H.D.ourh&.ll, N.C.

A.J. Gisssen. M.D.Boston. KA

G.A. Gronert. M.D.Rochester, HI

J. Harp. M.D.Philadelphia, PA

H. Heirich. H.D.Baltill.ore. tID

E.H. Kenwell. H.D.Philadelphia, FA

L.It. Kitahllta, It.D, ,Ph.D.Nllv Haven, et

M.J. Khambatta. K.D.Nev York. N.Y.

V.E. Laab, M.D.Chicago. It

T.W. Langfitt, H.D.Philadelphia, PA

C.P. t..non. Jr., H.D.San Francisco, CA

J.D. Levitt, H.D.Philadelphia, PA

Brian Hanhall, K. D.Toronto. ON

M.J. Kat jasko, K.D.Bal tillore. tID

J.H. HUsick. Jr. H.o.Roc:h•• tar, HI

J.D. Hiehenfelde.r. H.O.Roc:he.ter. HI

L.R. Or1c.1n, M.D.Re.... York, N.Y.

A. Schettini. M.D.Gainesville, FL

H.H. Shepiro,M.D.Philadelphia, PA.

H,C. SlocWlI. M,D.Galveston, TX

A.t. Smith, M.D.San Franc:lsc:o, CA

R. SIDHh, M.D.San Diego, CA

M. Sokol, M.D.10101011 City. IA

J. Tlnkar, H.D.Ft. Campbell. KY

D. Trop, M.D.Montreal, PQ

J.W. Vade, H.D.Winnipeg, K!o

R.J. White, M.D.Cleveland, ON

H. Vollman. H.D.Philadelphia, PA

A. Yeakel. H.D.Hershey. FA

7. To seek representation and establishment of • section of

neurosurgical anesthesia vithin the American Association of

Neurologic surgery and the American Soc:1ety of Anesthesiologists.

8. To stimulate interest in neuroanesthesia among junior faculty

in many smaller academic departments vhere no such Interes t now

exists.

FIG. 9. The suggested goals for the proposed Neuroanesthesia Society.

FIG. 11. Charter members of the Neurosurgical Anesthesia Society atits meeting on June 15, 1973. Four neurosurgeons were present includ­ing Becker, Bergland, Langfitt. and White.

Joumal ofNeurosurgical Anesthesiology, Vol. 9, No.4, 1997

300

ARTICLES OF ORCIu'ilz.ATION

BY-U,\.I5

OF ntE

NEUROSURCICAL ANESTHESlA SOCIETY

~:

In recognition of the com.1ng into betng .and gro"tl1 of a speciall%ed :lreaof anesthetic practice, and that specialization encour:lees I. superior contri­bution to patient care, 11 8Toep of 8nesthesiolofhts COfw(>ned [0 foulld theNeurosurgical Anesthesia Satiety for the purpose of exch:lnglng expert knO'.,ledgeand lIlutual education. Thhr org.niz:ation. subst:qucTlcly in this docultent referredto as "the society" ill presently conceived as being BlUlt and energetic .nd a5not seeking corporate status or ler.ill identity. It is proposed the !lotietyshall exhe as a nC/n-prof.tt, voluntary collaboration of physic!.ans engaged inthe practice of neurosurgical anesthesia and the care of critically ill neuro­I>\lrgical p~tLents,

M. S. ALBIN

UNIVIiRSITY OF PITTSBUJ.GH

SCHOOL OF MEOICIN~

l'ITl"SUUR,CiH. PENNSYLVANIA I'll)

DE PARTMENT OF ANESTHf..SIOL.OGY

Cha1tmllnDep~rtment ot Neuroloc;l'1cal Surgery

H.J,.C."Ip_.,a.m...CIlAl4fq,',

E' E&IloLl..• ..v~_

,,~u••1Il

Na'!".e:

The nelllle of the organization shall be the Neurl;lslJrglcQl Anesthesia Society.

~:

The purpose of the societ)' shall be to lr.Jprove allloos 1t5 llIeobe!'s tile artand sde.nce of neurosurgical anenhesia and care of the crit1cJ.lly ill neuro­5urglcal patle!lt,

N.:!lnh.:!rshLp:

(1) ~lellber:<hip in the society shall be open to all Lntere:!lted pnysid~ns ~nd

scientists in belief that IrI.ilxiculll benefit. in patient care ui11 require an openDe~l!rship pohcy.

(2) ParticipiHion shall be the prilllu'y reqlJirement for ~ell\bership. failureto attend tUO consecutive rq;u13r t:leetiJlgs of the society without prior notifi­cation of the Bo.ard of l>ifectors I-lill autor.lJ.ticolly te[Uin~te nelllbership.

(J) ~lelllbers \/ill be cxpected to bc willing to participate in the progra~ ofthe society's regular !:Ieetings.

FIG. 12. A portion of the articles of organization and by-laws of theNeurosurgical Anesthesia Society.

EI·"I:cr~ ~w I"OSITlv); (1I1l EXPIMTORY I'RF.s!>\lRf. (pnrl o~ llITR"r.R~NI"",. SACI1''''1.

~1~1l·:-;, ,\~D r.t:RF.IIKAL P~II~lJS10M I'ltEllSllRF.S UU_!Ml: t,(PEKI:'lI:S"rJ,l.

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The American Association

of

Neurological Surgeons

AMERICANA HOTELIII Herbor, FIDrkiII

Scientific Program Manuscripts

SUNDAY, APRIL e. 1mTHfltOUOH

THUFtSDAy, APRil 10, li76

EVALUATION AND MANAGEMENT OF BRAlN DEAD PATIENTS

Dr., A. GrellV1k. M. Orr, J. SmUb. J. Snyder and G. Vaa Hom

D.partlDeotl ot Aa....be.loloUICCM lAd NeurololY. Ua.1verl1ty of.P.ittlbW'ih School of Med1c:LDe ud Pr••bytlrla.a.·UlIivlralty Hospital,

P1i:tlb\ll"p. PIllDJlylVAl11a 15213tJSA

FIG. 13. Part of the program at the 1975 AANS indicating two of theSNANSC contributions.

Journal ofNeurosurgical Anesthesiology. Vol. 9. No.4, 1997

Deer Sir:

We are tn the process of formtng e NeurosurolCll t AnestheslO Soclet)whose purpose Is to "Improve amonQ Us members the art end science ofneurosurlillcal anesthesto and clIre of the critically III neurosurgical pet1ent

As you w11l see from the enclosed papers and by-law•• the membersrequirements are elllst1c enough to Include physlcleos from d15Clphnes othe,han AnesthestolOOY and to fact our membership already Includes IndiVidualother of the Neuroscience specialties.

Wlth this In mind, we woo Id appreciate your bringing this note to thattention of members of your Steff should they be Interested In Joining thl.

The !Lrst meeting of the Ncurosurljltcal Anesthesl<!l Society will takein San FranciScO at a dinner meeting on October 7, 1973 around 7:30 p.m. IwIll cost llPproxLmateLy $7, SO per person. The exact Urne and place will biconHrmed at ll. tater date, This date WlU chosen .ince 11 correspond, withannual meetLnlil of the American Society of Anestheslolo9~stswhlch will tak.,place 1n San Frllnclsco, OCtober 7-11,1973. Alllndlvlduals tnterested InattendtnQ the dinner meeting should contact:

Dr. Allan L. Sm1thDepartment of Anesthes1oloQYUniversity of Callfornta Medical CenterSan Francisco, Callfornla 94122

Thank. you for your consideration,

FIG. 14. Specimen of letter sent to all neurosurgical and anesthesia pro­grams in the United States and Canada announcing its meeting in SanFrancisco on October 7, 1973.

This allowed our members to interact with neurosurgeonsthrough panel discussions and workshops and through thepresentation of papers on subjects related to our two spe­cialties. An example of the participation of our member­ship is shown in the flyer for the 1975 meeting (Fig. 13).

After the first organizational meeting on June 15, 1973,an ad hoc committee of members Shapiro, Harp, and I senta letter to all program directors in anesthesiology and neu­rological surgery concerning the fonnation of the Neuro­surgical Anesthesia Society. The letter emphasized thatthis new group would be multidisciplinary, with an openmembership (Fig. 14). It also mentioned that the fIrst orga­nized meeting of the Society would take place on October7,1973, in San Francisco, since the ASA was to meet therethat year. In addition to Drs. Harp, Shapiro, and I, the adhoc conunittee also included Drs. Alan Smith (San Fran­cisco), Stephen Wyte (Denver), Brian Marshall (Toronto),John Wade (Winnipeg), and Anibal Galindo (Seattle). Wecontacted all individuals whom we thought would have

THE GENESIS OF A NEUROANESTHESIOLOGY SOCIETY 301

1. Sample .heer for AAnua! Due. of the Socluy.

1. M1avul of tbe (tnt or,11Io11.1C101l11 c~u.•• _ ..tlillof che tf".. rCllurlle.1 AIle.tM".• Soclety.

UNIVERSITY Of PENNSYLVANlA (SNANSC) since it was felt that the new name would bemore open, allowing for more disciplines to enter the orga­nization and the name also more clearly defined our groupaims. At this meeting, which was attended by more than45 professionals, a constitution and bylaws were adoptedand officers were elected. The officers were John D.Michenfelder, (Rochester, Minnesota) President (Fig. 16);Maurice Albin (Pittsburgh), President-Elect; Brian Mar­shall (Toronto), Vice-President; and Harvey Shapiro(Philadelphia) Secretary-Treasurer. A program committeewas chosen for the Annual Conference and Meeting to takeplace on October 11, 1974, in Washington, D.C., prior tothe annual ASA meeting. The program (Fig. 17) was

JUN 151m

O",r Kaurlce:

~\ldc. 5. Albin, M.D., H.Se.'D«part_nl of An•• thQlolol)'Unlv.uit)' of Plttaburlh 5cl\001 of Hitd.1l:1o,­Pitt.bulln, r'ollAylvM1h l5U]

PHILADELPHIA IliUM

JWl.e U. 191)

D~pG"'"'t"t 01 APltl.htllG5400 Spf"n: Strftl

Sll'1ceuly yOllr.,

1/--..,,,",, );, . .ft~<..", );1/ I,Nu-v.y H. Shaplro, M.D •.u.blanc 'raC.uol" sOClm or Kl:IIJ.05lJlCICAL AlfESTH!SlA AND mJlOLOCIC JqrPORun GAD

IiMS/a.

Etu:loaureJ!l

FIG. 15. Letter from Harvey Shapiro (acting secretary) concerning themembers of the NAS, annual dues fonn, and mailing list. 7rU.,. OI;Cohr 11,1117'. Vu~_.l).C.

Vub.l.D.atoo. lU.lUDJdhuOlll b-tt allIl Vut kIo_

interest in NAS and invited them to attend. Our San Fran­cisco contact at that time was Alan L. Smith (UCSF), whohandled local arrangements as well as the dinner (whichwas an outrageous sum of $7.50 per head!) (Fig. 15).Annual dues at the 1973 meeting were $15.00 and this feeremained in effect for several years.

The meeting was important because it implemented adefinitive organizational structure. The NeurosurgicalAnesthesia Society was changed to the Society ofNeuro­surgical Anesthesia and Neurological Supportive Care

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MD••Uter. St.... "'Jtl, M.O., ~11Jt_tlto!...or of I.1Lutllu1A.UGh_dt, d edot•• Dlovn, Colorado.

I'LllUUU - r. V. ~:Utt. H.D., 'rohuo!: _4 ~raa:r.. D1vu1.oa ofKlutn\lrluy, BDlp1t&l. of thl lJn.1....uitJ of P..-,.lv..s.••

D........r. ILD•• hot...or l1.li.4 a.al~. Illv:lal_ atIf.lII'Nvl_ry. Kadlc:.l Coll_I_ of 'h,I.a1•• l.1~.... 'lrpn..

I. IL Sh_plro. It.D•• ""_btlll.ll.t Prohuor of bUlbUl_ aMKa,uc:.l111netor of liI.,uO"Ult.ry aad )lal.lroleltJl.u, Sp.el&1Car. DUr. 1&o"lu1 of 01. O'olvu.ity ot r.~)l1"a.U1.

eott.a IrMk.

...........•.....•.•..••014)-.'U

Moduuol" .. IYvlu .u'1II 0 •• 'roh_HI" of 1I dl.. l.1• .,..\l ........ ltyof'ltt.bl.lrp, PHu"urP. ' ,.lv&lll•.

•...•. .. ,., " , " •. , 111~ ..2IJO p •••

FIG. 17. Program of the first annual conference in 1974 at Washing­ton,D.C.

Ill. CoU"oratly. Stu,U.. lD.a.Vo&Auth..lI 1.llllll.w:oloJ,1eI.~a.1YI e.r................ . 2'}o-)IJO p •••

KDdUIUt - ""rclI Chlw. H.D •• rrofl..or of ADueblli.a. I'tu..~ ttlc.ura! 1io.,1t..1.

.3=»-':)0 p•••

tw"lar.ur - Allall s.JL\. H.D., U.1.&tUlt hall... ar at: ....1...1.1111...11.tldv.",1ty 01 CdUor.·.·.• , 5.......rlltllco.

Stl •••111tS... la••••••••••••••••••.•.•.•..••.•

P&Galltt. - I. Urll.••• M.II •• lI.pan","r of A.llutllaoia. Ulllv.... lt,..r\/uu~ ODt...10 5t"-0•• of Koodlt.1.ol. L.oe.IIIoIi. OIl.urto. CIIIlAlLa.

0. LOD" H.II .• tla,lrtllalt of Nal.lrc,lIrlary. JoW 'opbaa\/01"."'1(.1. l&1tJ.w,ara. Ka.rylc.lld.

Lob ... t Su&1t1.D,f:, H.D .• lI.part"--o.t or .lIIa.thliia.Ulll1y.rl1tyo!IlId1.alLa•

•• tlot_utloDOfll.I.II""O..... t.Il.ull'r..t.tlt..1allonll"'-rle ••I. u ..d:I"lA forClrotUl.a'lrhtlt.to.,.C. Maoal_t of £l.ttlv. 1Iy,.t-.loo.O. locld.~•• Datlttioo. hophy1...:... u' Marla,........ If '.fWl\lll ~r EmoU"1L

S"'....td protoelll. ",111 ba u..tlod co Sodater "'If. ..ad COAt-r'lIta .ttCAd.u1.11 S.,u:blr.

FIG. 16. John Mitchenfelder,M.D., 1st President and a founder(1973) of NAS.

Journal ofNeurosurgical Anesthesiology, Vol. 9, No.4, 1997

302 M. S. ALBIN

SOCIETY oMEUROSURGICAL ANESTHESIA und NEUROLOGIC SUPPORTIVE CARE

.-wtAoELPAiX~

NOV 15 1974P.tlid,,,,

John 0 ~'!lc/'l(l'lftld(r, M.D.Drparmenlo(.Anuthesio'lIIYThe ~IJ:"o Clinic200 FiH~ SIlt,l, S.WRo:ht:llrr.:.rinncsaU 15901

'rrridtrrl-flur~I:lurite S. '\Itrin, M.D.Depal1melll of AnuthniolCJIYUni,·tr~ilr of PitttburJhJSSO Terract SireetPim.burJh,PtMtylvanit 15261

l'ir:,.'rtJid,nf8rian \1 ~1i11lhall. 101,0.Orplflmenl or Antnhes!.Toronto Genrf&l. Hrupllal101 (oUet:e SlreetFirn Floor, S.U.W. BuildinJToronlo 2, Ontario

Stcrtlllry·T'NJrLlfcrHarvel" ~r. Shapiro, M.D.Or~ilflmcnl of AnnlheJi.IliOlV,HIf)' of P,nnsylvlflllo

~~~~<I;r,~~ ~~~~Ylnnil 19104

F ALL

NEWSLETTER

Novelllber 12. 1974

FIG. 18. A portion of the 1974 fall newsletter.

Fello~ Members:

Over 1.50 registrants participated 1n our first annual .eeting in Washington D.C.It was a succells from the standpoint of both. teachin& and scientific endeavor. Areview of thh meeting is currently being prepared for publication either within ournewsletter or 1n the Anesthesiology Meeting Reports Section. Plans are currently beingformulated for our next annual. meet10g wh1ch will be held in conjunction with the ASAmee ting in Chicago.

---000---

AJG/JAP

August, 1974

gUAtn:f\l£~'T Of .\:-:£~nlr~l.\

MIJI"bl"~trrQC1l'U' H,,,pj,oJill.n.",AI'II~chlJ"/f'_·""

MASSACHUSETI, GENERAI.S'lO>PIT\Lli' 1'::71

We present for your con5ideration, a packt!t of formsthat wlll enable us to assess the various forms of managementand their results. We would like you to consider howextensive these studies should be: all the members involved,or only a Ilelected few. Also we seek guidance as to howlong each subject shall be studied at each institution andwhether these clinical conclitions shall be studied one at atime, in s~quence or all simultaneously. Finally, follOWingthe accumulation of data, how would you like the results tobe presented: (1) as a bulletin to individual members:(2) a panel report or symposium at either the i:lnesthe5ia~r neurological meet-ing: or (3) publication in a relavantJournal - or any combination of the above.

We would hope for YOur comments on the above and theenclosed data sheQ:t~ either by correspondence or an expressedopin~on at the eeSS1.on Oll collaborative stUdies at the A.S.A.meet:Lng in Washington D.C. (Friday afternoon, October 11th 1974)

A bulletin recently distributed has indicated thatthe members were particUlarly interested in II'l-ll.nagcment of(I) hypotension; (2) carotid endarterectomy; and (3) theproblem of air embolism. We would like to begin ourcollaborative studies by clinical evaluation of methods otmanagement of one, some or all of these t.ypes of cases; orany other studies the membership would suggest..

One of the major factor s in the formation of thisSociety has been an awareness of the difficulty in rC!<l.chingfirm conclusions on the management 'of infrequently seenclinical conditions. It would seem that this societypresents a unique opportuni.ty to resolve this situation.

SUBJL:CT: Proposed Collaborative Studies 1974-l!J75

TO: Hcfllbers of the Society of Neurosurgical A.nesthesiaand (~eurologic Supportive Care

FROM: Collaborative COitwittee

,"".1'0:-;.1. (;'.551:1>1. ~l.D.

".~r""n.' t1,,~.,.IHI",h..,h,'"

HARVARD "-IEDICAL SCHOOL

FIG. 19: Letter from Aaron Gissen concerning evaluation of manage­ment of mduced hypotension, cartoid endarterectomy, and air embolism.

enhanced by active participation of neurosurgeons-a hall­mark of our organization since its inception. In fact, six ofour Presidents have been neurosurgeons. I know of no othersociety in anesthesiology with this type of collaborativeeffort taking place on both sides of the table. The meetingfee (including luncheon and the educational materials) cost$15 for members and $20 for non-members. This successfulmeeting was attended by 150 registrants. Of particular notewas the effort of Aaron Gissen (Boston) who developedprotocols/questionnaires concerning anesthesia-neurosur­gical problems and practices (Fig. 19).

The programs of the 1975 (Chicago) and 1976 (SanFrancisco) meetings (Figs. 20,21) illustrate the develop­ment, inclusiveness and intellectual depth of our under­taking. A review of the topics in both programs demon­strates the wide variety of our members' concerns relatingto clinical, basic science, and educational objectives. Theinternational aspect of our interests was evidenced by thenumber of European participants. A sense of deja vu iselicited by the title of the first topic for discussion at the1976 meeting- "Pharmacologic Protection against BrainInjury." Starting with the 1974 meeting, the scientific pro­grams consisted of free papers covering experimental stud­ies or clinical protocols. Eleven papers were presented atour 1976 meeting (Fig. 22).1975-76 dues were $15.00,meeting registration was $25.00 for members, $30.00 fornon-members, and the dinner cost had doubled to $15.00.

Neuroanesthesiology was formally recognized by theASA as a subspecialty in 1976 while James E. Cottrell

Joumal ofNeurosurgical Anesthesiology, Vol. 9, No.4, 1997

THE GENESIS OF A NEUROANESTHESIOLOGY SOCIETY 303

SOCIETY ol HEUMSUkCICA1. AllESrHESlA tnd NEUROLOGIC SUPPOlttlVE CARE

ANNUAL CONFERENCE ~If} lIfETTlKiHUDAv - Od(JStR ld, 1'175

PAIJIER HOUSE, tl/Al!ASH PARLORCHICAGO, TLUNOIS.."""",

REGlST'RATION----r:J'O- 8:30 a.m.

PROGRAM CHAT RAW/ .: 30 a.m.Hl11l.vr.y M. ShctpilLo, St.e'lUtJ..ot!f-Tlt.taJlU!l~

ANNUAL CONFERENCE AND HE£'TIIlC11l.1DA't. OCIOll.EII. 8. 1976

ST, F!WIC 15 HOTELS..ul nANCISCO, CAUFOIUHA

PJ.OClWlUCISrRATlON]";'I'f""to 8:15 •.••

1. PtlAlHACOLOCtC PROtECTION ACAIHSr BlAIN UIJUl\Yl .•••.••••• 8:)0 _ 10~15 •. c.

Kod.ntor: John D. Michenhlder. I'rohnor of AneathedolOIYKayo Cl1nlt

hnal1lU: 101:. $lujo, Ii. D., I'roIe.uor oC Heurochshtr)'Ulllveraltyofl.>.llld.Sw.dln

'r.ll.k. H. lU.u-. H. D., l'rol...or .ll.d Ch.ltl:'af,1I oI NlurololYUnlveraltyoCOUI°!1

Allan L. SmIth. H. D., .....otht. Prohuor of Aanthealo1oIYUn1voralt)'ofC.l1forn1..l

COFfEl BUAX • • ••••••••••• LO,lS - lO~)O '.:1.

. • 10:30 - 12:00 '.:1.

..,. l130-2:U 1'.11 .

Pandht.: Robert J. White., 11.. D., Protestor of NeurollurlluyC.,e.Wutet"nll.ulrv.

Donald P. ~e.t.1<.:r. Ii, D., Proleuor O-nd Chllln:1&11 01 H.urolol1tal Suql!rytledltalCollelllolVirllnh

C. Fred Brlndh, M. D.• I'rolauor of AnutheliololYSl\e.rbroClk.e.(lullb.c

. •• 12:00 - 1,30 1'.11.

Modentor~ IUUfitlJ- S. Alba. H. D., "rofe.nor of Ailuthulolol)' &nd He.urolurleryUolvualtyotPitt.bvrl

1. £dut.tloo. La H.."ro.neathea1& •••.

2. KANACtMfh'l' OP SPINAL COl.!) U1Jl1!lY •

3. nO!LDtS IN N£UROllJll!STH£SIA:

• • ,$:31) - 4:00 p.~.COFfEE BREAK •.

2. AJiE,STHfSlA tWV SURGfR:Y FOR NEUROVASCULAR 'DISEASE • ••••••••• IOdO _ 12:00 a.m.J,!odVULtoJL: 10M V. !.t.idle.noe..tdtll., _LV .• l'....o6e...uoll 06 Anu.thui­

ology, ~!4vo c.uM.c..Pl1Ilt.tib.t.6: FUM Jl1.I1e.tta, Iol.V., P1lO6U601l tutd cluWvna.n 06 NWlto­

.4WtgfJl!l. UAi.VeJl.,6~ 06 P.i.U.lbwt.~hLUNCHEON • .•••••••••••••••••••••••••••• 12:00 - 1:30 p.lI'I.

J. lL'ORKSHOP. ClHJJCAL MEASURHIENT OF CEREBRAL 8LOOO FlO!ll:

ModVl~~;I~~ ~~~d Al;t~d~.·.I~V:,·P:W~~6~'~"1l:m·C~n':30 - 3:30 IJ·I".• 06 Anuthu.iA. UnivtllJ..i..t.y 06 W.u.C.Of~.o,.

p~: N(.eU. A. ~I1hH.n, M',D., Cfll1.ihmtUl 06~ PItV4..t.o!og!/.B.UpebjVlg HO-6p.Ua.l, Copl'./lhD.gm.

.LLvLli1l Ruv.u:.h, ~u, .. PIl.06UAOJI. 06 NetJ/lolo91j.H06p.i..Ca.t 0' tht Un..i.VtAJ,-W} 06 Ptn.n.lylvan.t4.

,,00 p.l!!.7'00 p.IIl.J

J&I;I,. t. Cottrell, H. D•• ,".ht.nt I'rofe.not" of AnuthutololY. New York. Untveuity

JIJ:IU 1. tiup, H. D" Prohuor and Chalt'1l&.ll of ""utheslology'I'elllple.UnlvlIrlity

P.. tlr J. J.netta.. H. 0 .• Prot• .,ar .nd Chalmano! MOluroaurleryUniveult)' ot Pltt.b~1'1

4. SCIEIlTIf1C SESSION •.••.••.•••••• : .••••••..•• 4:00 - 5:30 p.m.Co-Modella..to1l4~ S'I..ia.rI Mo1Il.<ltlllU, 1ol.V .• M60C..uz..tl!. p.... ,,'UJ,,1l. ", Anv..th£J.ut,

TOIlOnt" GVlVLa.! H06p.i.tal.John ~. ~l!.. M.V., ~1l0~U601l and C~II oS A1\eAtht4-i4.

un.tv~.u!l 06 I.h.u.t.:lba..PINNER. . • • •••••••••••••...••••

(Ceu.h Ga.'!. • •••••••••••BUSWESS MEffING--FOLLOI~I"'G DINNER

2. Air ElIlbolt~1I . ...• 2:15 - 3:00 p.....

CcraldJ.. Crollen, If. D., .....othteProleuor olAnlithlstololYKa)'oCltnlc;

,"obert C. Carroll. AnOtlatll Proleuor of bdlolol)'Unilie.rsltyoIPltuburl

\,rUlh.. L. Paul. H. D., Auht411t I'rolea~or oC AneuhuiologyU"ivusity oI florId.

J./.1. Spagl14. Auwtant t.o till!. Sl!.CI\e..tMy-TII.CMUltM.Pl!.p.vt..tm~l1t 06 AI1CAtlieA-U1. H06pLu:tl 0' .thl!. Un..l.v<Yt..6.t.ty

o~ pC"It6Ij!VIlI\A,ll., 3400 S,l-'ucl!. SbLee.tPhi..lA.de1p!i.U1. PtnMlj!va.,U4 J9104

COFFtE'Oll.f.AK .•.

4. SCIEHTIFICS£S$IOIf.,

):00-):10" .•.

•• ):JO • ~:)O I.•.•.

FIG. 20. The 1975 program.Co-liodOlr&ton: Bry.n Mauh.n. H. D•• A••o~ht.. Profanor of ""l:~the"lolor.Y

Toronto Cllleral KOIpitalJohn C. \J.d •• H. D•• Prolu.or "lid CI.,.Jl...."l'I ot Atle ... th,,~ l"ll>~Y

Unlv.ralty ol l'!anlt~b.

(Cuh !In) ... . . • . . •• 8:00 ~.Tl\ •

••••.. 7:0[1" ....

BUSINESS HEElING -- FOLt.mIlHC DIHlIEk

served as Chair of the ASA Subspecialty Committee. Bythe end of 1976, organizational aspects had stabilized andwe could boast more than 160 members from institutionsin the United States, Canada, and Mexico. Our member­ship now included anesthesiologists, neurosurgeons, neu­rologists, engineers, and neuroscientists. We had estab­lished a newsletter (Fig. 23), and our meetings were beingreported in Anesthesiology. Anesthesiologists and neuro­surgeons throughout the United States and Canada inter­ested in neuroanesthesiology had been contacted, andSNANSC participated actively in panels and presentationsat the American Association ofNeurological Surgeons (Fig.24). The educational component of our Society expandedin 1974 with guidelines developed by Aaron Gissen forthe management of induced hypotension, carotidendarterectomy, and air embolism. Concomitantly, in 1975,James E. Cottrell was developing questions for a surveyof the number and types of cases carried out by anesthe­siology residents during their first two years of clinicaltraining as well as the nature of neuroanesthesiology andsurgical practices. Preliminary infonnation in this area waspresented during our 1976 meeting by Drs. Cottrell (New

FIG. 21. The program for the October, 1976. meeting. The subject ofbrain protection and the problem of education in neuroanesthesia werehighlighted.

York), Harp (Philadelphia) and Jannetta (Pittsburgh). Aneducational subcommittee was organized to develop a bib­liography pertinent to our research, clinical, and educa­tional practices. We were in constant contact with our Euro­pean colleagues and plans were made to meet with ourBritish counterparts (Fig. 25). Those plans came to fruitionduring ajoint meeting in Williamsburg, Virginia in 1979.A combined meeting was held a few years later in Lon­don, England. We had also developed a relationship withASA vis-a-vis the role of subspecialty groups within theorganization; sponsored and ananged the neuroanesthesiabreakfast panel at the ASA; and achieved representationon the ASA Refresher Course committee.

The first U.S.A. textbook in neuroanesthesiology (4),now in its third edition (5), was published in 1980. By 1982(our tenth anniversary), we had experienced considerablegrowth in membership and the participants obviouslyenjoyed the meeting (Fig. 26). This celebration was shad-

Joumal ofNeurosurgical Anesthesiology, Vol. 9. No.4. 1997

304 M. S. ALBIN

SOCETY OF UElIltOSIJRGlc\L AI4:STllESI/I ArID rlEUllOLo:;rC :3VFPO;rr!'.~ CA!':ZSOCIETY uf N"UROSURGICAL ANESTH~/A wid NEUROLOGIC SUfPORTIVE CARE

PHlLAOELPIIlA IU40

A C flle1mert H.D.Pi ttsburl;h

If Ylilu have not ren"",ed your _benhip for thil year, phalleu... the allcl05ed fot"lll to do 10. See you in San 'noellco.

Our Neuroanuthesla Breakfut Panel for the A. S. A. willbe Tuesday, October 12 frOOl 7:00 to B:15 at the Rllton. Sh.p1ro.Gronere, H4rshall. Harp and Albin ...Ul pruent e hrsely cllnicalprogram, dbcu"in. intracranial hyperten,ton, hypotenliveaneathellie. end the 11ttinl polition, reapecciV.,ly.

Codaan .nd Shurtleff, McNeLl Laboratorlet, Merck, Shlfll ,Dohlae, and Ohio C11l\le.l h.ve an contributed g.,nero\ll tupportto our lIIeetl11g thil ye.r. The pTogralll ill coaplete, end, ...e feel.excellent. A copy 1••neloled. lel11lter early.

Sl,IInerNClJlIlettltr

On Decltlllber I, 2 .nd 3, ~urlc"! Albin "'ill pn:aent .. thneday "ork.hop on NI\lroanlllthesta at The Unlveuity of Pttuburl.Horning. wUI b~ in operatins roOlll and arternoona, in leeture.,Hie aeldreu. too. 1a on the letterhead.

A. A. H. S. Keetina

Brilln Hanhall "'lshu to eneouras., aUbllll.. ion of ,bstrac(Ifor ·The Scientific Sen ion thi. f.ll. Then lIlOIy bit vorks inprogrellll or Interut1nK iel ..a" pUflued part ....y. We vish onlythat they pruent .co;urlltely collected d.tII. c.-pable Qf ~ene[;l­

tionlntereitOlnddlacu"ion. Let us hear what you havlt beenIIttempting. Irian'. addTe., 1a on the h.turhelld.

We ",111 have good .ecOllllllod.lltlonl for our lIleetinl .t The St.FTllnclll. HtNever, Ont'" c.n only heed 110 of us for th. dinner.!.Ie lIlay hive IIDre lIl.,.beu ..18hil\& to .ttend. Ple,ne set your.ppliclltlon to \I' early.

A _jor decidon regardlnl incorporation of our ,othty 1&to be _de thla falL In addition •• ne'" vice president C\lst be.elected.

r",W'M'~60';"S.""";~. M.Dt><..... 'III£rI.I.l .........' ......-'.-.

~;;;.~~~:s~:~u~~.~.O~~~,..lIu,.". '.""'1"'." Illl)

,,,,",,.,.(1«/at;•• M. "h.... ~. ~.D

~;.~~G:.:~I<=·10ICol"",.S...... 'TOlo"'. 1. 0"'-'''0 ~lo.ol'.T

v;,-,·,,,,.d..,H,-""M.~pi' •• M.l)0.,,""'<.,01 ................1.11u", •.,..."otC>~lo"".1JlW.D"'~<"'.S"."So.D,uo,C,"''''''' '1101

Sr.,.,.".,..r",~"

lomaIl.H.tp,N.DIlop." ....'.I~DT• .."..Uni.<..."}OO11'l.1,o,dSl'_"',lo." ....... P•••,,.,.";. 1~I'u

FA R.C.S.

J. M. ~ ~LD.

Ne..... York

wafts Mpt:s~urgh

J. Beckstead., M.D.WiMepeg

IJlll!le!lR.~I~.D.

Phi14delpnie

~~~

IJavier Yer¢' M DMexico Cit)·

9. A.-.elorl&tioo of Post-I scheme £m:ephalopathyby SocliUl:l 'P.Iiopental aft" .. ~1xteen Hlnules of01c<;a1 Br&ln hchetd& in Monkey.

SCIENTIfIC PR(),;AA!~

8. Pat Er&in Omoal1ty During IllcO,etl1c ~.

6. r<.ln:":er Clir.lcal StuiUes of the E...Y... Ind.ex.

}. rur~her Clinical St...dle5 \lith AC!lpuncture !lndProlon[j;ed COD: A FoUovup.

~. rn'·dgwtholorlclll ~5,lg.~ lJ:l UI!.U....~P'r~.

5. ~~:~:~~~lu:~~gC;~n~~~~ ~~~::~~"h~e~

1. Cerea~e.l Blood Fl17" an(\. !·:eUl.bol1sm FollaJtngC3.~st.

l.Aj~fJntra"entrieulllr",,e1l5l.\reKlent

of I.e.p.

2. Do-::s Er.erO)' F'a-ilure ~fy !In.in Injury!

11. 2ar~gunte ~uppres,lon of Local CorUcal CxygenEx::.uction Rates after t-liddle Cerebral ArteryCeciustoo.

10. A~elorlation of Bra:!,n tnltlll.ge Ilfter C1Lrt1tac Arrest11'1 Do;:;s \/1 th Blood Flow Pranoling r~nsures.

JKH:Jdb

full :l.1.:~~r~cts listing all inve5t1~tors' n..oes ",ill be di.::;tributed Ol.t tr.e ~~eet1nB.

FIG. 22. The eleven free papers presented at the 1976 scientific ses­sion.

FIG. 23. The 1976 summer newsletter. Note in the fifth paragraph thatSNANSC sponsored a breakfast panel at the ASA which continues tothis day.

owed by the death of Brian M. Marshall (Toronto), one ofour founding members and President from 1976-77; wededicated this meeting in his memory. At our 1986 meet­ing, SNANSC became the Society ofNeurosurgical Anes­thesia and Critical Care (SNACC) in order to recognizethe importance of critical care medicine to patients withsevere neurological dysfunction.

1989 saw the launch of the Journal ofNeurosurgicalAnesthesiology (INA) with James E. Cottrell serving asEditor, John Hartung as Associate Editor, and Roberta Hal­porn as INA's Editorial Office Manager (Figs. 27-29). Thisjournal has since become the voice of SNACC, as well asthat of the Association de Neuro-Anesthesiologie et Rean­imation de langue Franraise, the Wissenschaflicher Arbeit-

MAY 171976-- SOCI/,TY 01 Nf:UROSURGICAL ANESTHESIA and NEUROLOGIC SUPPORTIVE CARE

PHILADELPHIA 19140

FIG. 24. A portion of the 1976 SNANSCspring newsletter indicating our participation atthe AANS meeting.

1"',·"'/""1

~;;:"~'~';:;I~~:"~;";I~~"I"n Spring Newsletterl!1<j~t",,~ ul l'iU"h"'JIlh~lO J .•• 'h".r' "IICCI. RIIO'" 'J.tall'III"''''lIh. I·"n"~yh",,in 1}211

IIriOlnM.M'''oJoull.M,D.Dc",,"",c"l ur Anllcs,heu:I

11;~';'~,I:I;:~;'~I'r~IH""pil.1 A. A. N. S. Meetingl'"runlU 2. Onlo,i" M~G11.1

May 1976

I'i, ~·/"~Jltk/ll

'l:<,vo;oy M.Sh"l'i"., M.D.l>Cp:l'lInc',1 "r Anc:.lh",i.,IUliIYUn;.o'~i,y l'lf ('~ljJnmjll

22.\ W.l)j~k"n~;".')(roel

"""lJ;e,o,Cdir"""" <1210)

1(I'm-:> R. H~rp. M.D.11tt':lll '''cn~ ,.r 1\"~...lhc!oi"I,,..y1ronl'loUn;vcf!lil)'·,,(11 N.•lto:"ISt.ecll'hil,,,Jdr'hiD.I'en,,,ylunj,, \'11-411

The trolleYIiI weren't running. and the Museums were closedstill the A. A. N. S. Meeting in April was a reasonable succe9~.Breakfast panels p~t on by our 80ciety sold out. though exceptfor Harvey Shapiro !I contribution to the panel on 1rIonttorinR theneurosurgical patient, crowd ahe was restricted by rather SIlUl.llroom space. ::ltill the audiences were stimulating and there wasmuch discussion, and all of our panelists had a pleuant time.

Journal a/Neurosurgical Anesthesiology, Vol. 9, No.4, 1997

THE GENESiS OF A NEUROANESTHESJOLOGY SOCiETY 305

I wHI be looking forward to seel1"\9 you "galn ot the New YotkPostgrodlolate A.ssembly and h.ope that e"ervtl'llng IS 901:'19 well.

sOClcrY ..1 N":UROSURGICAL ANESTHESIA aM NEUR.OLOGIC SUP10/fTIV£ CARE

I'Ht"-"DtL'HIA 1'140

I em s\lrl! you are ew/llre of the fact that our SOChtly of Neuro­surgical Anesth.sl/ll lind Neurologic Supportive Care Is alive aM well clnd Interms of Ihe fUlure, I .....a. wonder1ll9 whether II mlQht be pO'Slble to atranqed lotnl mcellnq bet.....een the Bntlsh SOCiety of Neuroanesthetuts and ourselves."5 you know, we h~vc our mc",twrship IrOl'll t"c Unlt(:tl Stalo•• Col ...,)!Jd, M,:II'co"nd South "meriCb lind In 5 sense can spltak. lor Neur~ne.theSla In both thcNorth American and South American contlnents.

Dr. D. G. McDowallProfessor and Ct\alnnanDepartment o( AnaesthesIaUniversIty of Leed$ School of MedlcLne24 Hyde Terraceweds LS2 9LN. [n91,,10

October S. I!P6

Dear Gordon:

H.,,,.., M. SU...... MoOc.,.n-..Lol--.....lucr

~~~~~~~r::5.aaDMp,c.Ji'enli. ,..101

JU'''''P"T..__ It.K D.O<t>o..- ~

~';.~..:":..1"Irlil....... ""-".....~

......_1""""' ...0.Do_of~,u.. G1, ~

~.. 1.~ ,... 'ito .... a........~~I'W_,•. ~._,I._ nIL'

f', ••oM",·£I",••iu Iol. ,.10•.......,.. "',D.Oopo.""'ft.alAn--';.T_h'O'...... H...,.I.JIOlC....p51~T""""',,2.a..u,;o lIIJaII.'

With tMs In mlrfd, pleese Qlve me your thouqht. About thepoSSibility of arr.1nglng a Jolnt meeting elther In the UnUed Stites or in yourcountry;\ couple of years from now.

FIG. 27. James Cotlrell, M.D.. Founding Editor of Journal of Neuro­surgical Anesthesiology in 1989 and 8th President of SNANSC.

[will be turnlnq thl .. corrt'~pondQnCc ,.lV~r to Ol'e IV!W Incoming

PreSident. Or. Brilln Marshall. Irorn the UniverSity of Toronto. who {.:1m svrewill be intecested In carrying out thiS ld~.a or u jOlot meetlnq for both 01 ovr

qco\lPS.

MSA:sq

looking fOTW.lrd to scelnQ you In Nr.w '(ock.

SlnCl.'rl!ly.

Maurice S. Albin. M.D. M.Sc. lAnes.)PreSidentProfessor ot Aneslheslvloqy

ilnd Nt'uroloqlcal SVfqcryUniversity- of PIUilibtJcQ'h School of MediCine

Dr. II. M·lrsh,-,Il. Dr. H. Sh"pict •. Dr. I. !I.lrl>

FIG. 25. Letter to Gordon McDowall. an officer of the Neuroancsthe­sia Traveling Club of Great Britain and Ireland.

skreis Neuroaniisthesie der Deutschen Gesellschaft furAniisthesiologie und. intensivemedizin, the Neuroanesthe­sia Society ofGreat Britain and Ireland., and the Arbeits­gemeinschajt Deutschsprachiger Neuroaniithesisten undNeurointensivmediziner.

Our twentieth anniversary meeting was celebrated inNew Orleans in 1992. It had historical overtones as JohnD. (Jack) Michenfelder gave the Janssen DistinguishedLecture on "The Past, Present, and Future of Research in

Neuroanesthesia." Jack is a founding member of NAS, oursociety's first President, a former editor of Anesthesiologyand an eminent scholar, scientist, and neuroanesthesiol­ogy educator. Another extraordinary event took place thatevening when Thomas W. Langfitt spoke about changestaking place in the American health care system. Dr. Lang­fitt is the neurosurgical founder and a charter member ofour Society. The work on head injury and intracranialhypertension carried out in his laboratories remains out­standing in its originality and scope, and he trained manyphysicians who subsequently occupied, or still occupy,Chairs in Neurosurgery departments.

In ] 972, only six anesthesiology training programs in theUnited States and Canada had a dedicated neuroanesthesiol­ogy division or section for residency teaching and fellowshiptraining. As of 1989, there were sixty-four neuroanesthesiatraining programs in the United States and Canada. Lookingback at the past 25 years, I cannot help but be impressed bythe progress we have made both in clinical and investigative

SOCIETY 0/ NEUROSURGICAL ANESTHESIA and NEUROLOGIC SUPPORTIVE CAREUniversity of Viri'inia Medical Center - Departmenl of AneslhesioloiY

CharlotLc~yille. Virginia 22901

SNANSC NEWSLETTERDecember, 1982

SNAtlSC x: What a tenth anniversary party it was! 220 Society members andguests overcame the temptations of las Vegas to attend this year's meeting onOctober 21.

After the tradHional rough start with the audiovisual equipment, GordonMcDowall (Leeds), Douglas Miller (Edinbur9h), Robert Bourke (Albany) and EmericGordon (Stockho1m) presented a panel discussion on head trauma, sUJ1lTlarizingappropriate critical care measures and the ultimate prognosis and outcome inDi'l.tipnts with brain iniur1es.

FIG. 26. A portion of the SNANSC newsletter of 1982.commenting on our 10th anniversary.

Joumnl ofNeurosurgical Anesthesiology. Vol. 9. No.4. /997

306 M. S. ALBIN

1996-1997 Anesthesiologist

1995·1996 Anesthesiologist

1994-1995 Anesthesiologist

1993-1994 Anesthesiologist

1992-1993 Anesthesiologist

1991-1992 Anesthesiologist

1990-1991 Neurosurgeon

1989-1990 Anesthesiologist

1988-1989 Neurosurgeon

1987-1988 Anesthesiologist

1986·1987 Neurosurgeon

1985-1986 Anesthesiologist

1984-1985 Neurosurgeon

1983-1984 Anesthesiologist

1982-1983 Neurosurgeon

1981-1982 Anesthesiolog ist

1980-1981 Anesthesiologist

1979-1980 Anesthesiologist

1978-1979 Neurosurgeon

1977-1978 Anesthesiologist

1976-1977 Anesthesiologist

1975-1976 Anesthesiologist

1974·1975 Anesthesiologist

FIG. 28. John Hartung, Ph.D., Associate Editor of the Journal ofNeu­rosurgical Anesthesiology since its inception.

Journal ofNEUROSURGICAL ANESTHESIOLOGY

DATES OF OFFICE SPECIALTY NAME

William Youn9, M.D.

Adrian W Gelb, M.D.

David S. Warner, M.D.

William L. Lanier, M.D.

Alan A. Artru, M.D.

David S. Smith, M.D., Ph.D.

Lawrence H. Pills, M.D.

Wayne K. Marshall, M.D.

Neal Kassell, M.D.

Philippa Newfield,.M.D.

Lawrence Marshall. M.D.

Robert F. Bedford, M.D.

Derek Bruce. M.D.

Jane Matiasko, M.D.

Peter J. Jannella, M.D.

James E. Cottrell, M.D.

S. Craighead Alexandet, M.D.

James R. Harp, M.D.

Donald P. Becl<er. M.D.

HaNey M. Shapiro, M.D.

Brian M. Marshall, M.D.

Maurice S. Albin, M.D.

John D. Milchenfeldet, M.D.

Vohlmc I, Number I, March 1989

CONTENTS

U>m>ALU

On the Need ror • New JOlIruiJames E. Cctlrdl and John Hartung

uncusSufenWl.il, A1fn.tMiI, and Fattanyl: hnpad onC~I F1Wlt~ in '.lkeCS '"til BrainT........

William Marx. Nilin Shah, Charfes Lo"i. Ehl.ld Arbit, Joseph Galic:ich, Christopher Mucott,Kasarg!Xi MaJlya, and Robert Bedrord

Clrebral Blood Volume and CSF PrCSJure Followina Administntkln of Ketamint In Docs;Modification "y Pr.. or Posttrulmcnl with HYpoc.Ipnia or Diazepam

Alan A. Artl'\l an<! Ross A. Kall.

16 £IIect of Thnt aad Dose on Satp-RtlO:OJded Somat8RfUlOfJ' Evoked Potential W.n Aupocowlioe byEUl~tc

Roben w. Mc::Phenon ud Roy Lc: ...iu

n Caebr. Metabolic Ocprcaioo and Brain Prolccdoll Prod\KCld tty MidNolun and Etodlicllte ill tbr:Rae

Vema L. &Ulhman. Wi.iam E. Hoffman. David J. Miletich. and Ronald F. Albfechl

2f Hypocapllil; Prevmb II:v DKruse In Resional CerdlraJ Mdabolilftl o.ringlJotlwue-lnctueedHypoleaston

lens Waaben. Benl Husum. Anker 1. Hansen, and Alben Cijedde

JtH<ntJ21 0/ (II'WOJllr,inl AllwtrJioJc,'l USSN QtN...49211 ;\ JHlb!i1Md ~n1y ill MaTch, 111M. Scplcf'ftbcr, &nollCl«'c:mbc:r by bye" ~u 1.14., III) AYCllU.lJi llle A-nc...i. N.... York, N.Y. 10036. U.S.A. Sealn4 dui~pcl'lllli.. at N_ Yllf'lr.. N.Y .. Uol!I.Il.Il4l!itioNJ rMilini OlrICU.

JlllucripfiDlJ '~"Ii1' "'......, t, /919: l"rnoMl .ulIK"';ptl.olI U' in U.S.. 5~' ekoowhQ'C: iOitituliGn&l w"'scnploOlU5100. U.s.., 1120 chcwllcrc. Airdcl;"er'jl i\ included W Ewropcu lAd McdiknucMI CClla&riU: for air Kl""ic:c elw_heRI4d 111. ,.~.... IhoouM "~PMr aJ link". R&uc cfKlOic pn;MnI rnailint: 1:*1 wilh.nc'" of MllRu ...."'"Ii.Ao6dnIiu .Il.IltUti'die ;..q"iriu'" A4vcrtitiq MAIIaP'.llIvcll Prcu.~ScrutldoStnIClWltt'loIlH."ul1<ifN'""'J.....iC'JA"'JlIor.NRO'l.~~,IIIIJA'Y_

oIlk Anlcricas, New Vwt. NY 1OO:l6.ClIPrrlPl (l .,.. Ilo....m."'"'nl.l4.

FIG. 29. Table of Contents of Vol. I, No. I, of INA.

Joumal ofNeurosurgical Anesthesiology, Vol. 9, No.4, 1997

FIG. 30. Listing of the Presidents of NAS, SNANSC, and SNACC.

FIG.31. M. Jane Matjasko, M.D., founding member of NAS and the10th President.

THE GENESIS OF A NEUROANESTHESJOLOGY SOCIETY 307

AG.34. Elizabeth Grundy, M.D., early contributor to SNANSC.

FIG. 32. Elizabeth A.M. Frost, M.D., early contributor to SNANSC.

FIG. 33. Philippa Newfield, M.D., 14th President of SNANSC.

neuroanesthesiology, by the ability of our subspecialty toattract many of the best and brightest in our specialty, and bythe capacity of our present leaders to point the way to the

future. We have always been fortunate to have superb lead­ership, as scanning the list of past Society Presidents indicates(Fig. 30). We were also cognizant of the capabilities of ourfemale members long before the tenn, "glass ceiling," wascoined, with Jane Matjasko, Philippa Newfield, ElizabethFrost, Judith Donegan, and Betty Grundy (Figs. 31-34) eachmaking substantial contributions.

Dozens of individuals have been responsible for thehealth and vigor of our neuroanesthesiology organizationand space limitations do not allow for a more in-depth nar­ration of their contributions. These individuals helped invarious ways such as organizing meetings, serving on com­mittees, reviewing the literature concerning neuroanes­thesiology, judging abstracts, and performing the manythankless tasks that make our organization function--onecan only salute them and thank them for their efforts.

We look forward to celebrating our thirtieth anniversaryin 2002!

ReferencesI.Frost EAM. History of neuroanesthesia. In: Albin, MS ed. Textbook of

Neuroanesthesia with Neurosurgical and Neuroscience Perspec­tives. New York: McGraw-Hill,1997:1-20.

2.Hunter AP. Neurosurgical Anesthesia. Philadelphia: F.A. Davis Co.,1964.

3.Gilbert RGB, Brindle GP, Galindo A. Anesthesia for Neurosurgery.London: J & A ChurchiU Co, 1966.

4.Cottrell JE, Turndorf H. Anesthesia and Neurosurgery. St. Louis:Mosby-Yearbook Inc, 1980.

5.CottreU JE, Smith DS. Anesthesia and Neurosurgery. St. Louis: Mosby­Yearbook, Inc, 1994.

Journal ofNeurosurgical Anesthesiology. Vol. 9. No.4. 1997