Showing 645 items
matching st kilda - history
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Geoffrey Kaye Museum of Anaesthetic History
Analgesic, Penthrane, Abbott Laboratories, 1976
... St Kilda Road Melbourne melbourne Methoxyflurane Hydrogenated ...Methoxyflurane Hydrogenated ether (ether with one or more hydrogen atoms replaced with a halogen atom). It is a powerful analgesic although is also a respiratory depressant. The use of Penthrane foreshadowed the patient controlled analgesia devices.Empty brown glass bottle with green manufacturer's label, with white writing and a white plastic lid. Green liquid measures have been printed on the side of the bottle.White sticker stuck to manufacturer's label: Expiration Date / Feb. 1, 1976 / Lot 854-1663analgesia, hydrogenated ether, self administration, methoxyflurane, abbott laboratories, penthrane -
Geoffrey Kaye Museum of Anaesthetic History
Laryngeal Mask Airway, Mallinckrodt
... St Kilda Road Melbourne melbourne laryngeal mask airway brain ...Blue transparent plastic tubing with a clear plastic laryngeal mask attached. There is an additional fine tube threaded through the blue tubing toward the mask opening.Printed in black ink on blue plastic tube: SIZE / 2.5 / MALLINCKRODT LaryngoSeal TM / Single Use Only 20 - 30kglaryngeal mask airway, brain, archive, england, mallinckrodt, laryngoseal, endotracheal intubation -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Cuffed, A Charles King Ltd. England
... St Kilda Road Melbourne melbourne magill, ivan endotracheal ...Set of brown and orange cuffed rubber tubes with an second, finer, rubber tube extending from the cuff. The tubes are all for use in oral endotracheal intubation.Versions of the following are printed in black ink on each of the tubes: [size] MEDICAL AND INDUSTRIAL EQUIPMENT MAGILL'S TUBE / MADE IN ENGLAND or; [size] ORAL Medishield / MAGILL / CUFFED / MADE IN UNITED KINGDOMmagill, ivan, endotracheal, intubation, oral, cuffed, tube -
Geoffrey Kaye Museum of Anaesthetic History
Laryngeal Mask Airway, Intavent
... St Kilda Road Melbourne melbourne The Laryngeal Mask Airway ...The Laryngeal Mask Airway was invented in 1983 by British anaesthetist, Archie Brain.Yellow plastic tubing with a pink rubber laryngeal mask attached. There is an additional fine yellow tube threaded through the base of the rubber mask. Printed in black in along side: #4 LARYNGEAL MASK AUTOCLAVABLE INTAVENT 3:1laryngeal, brain, archie, endotracheal intubation, autoclavable -
Geoffrey Kaye Museum of Anaesthetic History
Magill's Endobroncheal Tube
... St Kilda Road Melbourne melbourne This endobronchial tube ...This endobronchial tube was invented by Sir Ivan Magill. It can be identified as pre 1948, as from that time on the wire spiral was eliminated from the body of the tubes. Sir Ivan Magill is famous for his involvement in modern anaesthesia. He worked closely alongside plastic surgeon Harold Gillies in the treatment of facial injuries sustained in World War 1. He was responsible for many items of anaesthetic equipment, but most particularly the single-tube technique of endotracheal anaesthesia.Tightly wound wire spiral tube with metal 'T' nozzle at the opposite end.magill, endotracheal, tube -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, de Caux
... St Kilda Road Melbourne melbourne Francis Percival de Caux ...Francis Percival de Caux invented this endotracheal tube which was devised for use during nitrous oxide/oxygen anaesthesia. Though he wasn't the first to use a two-tube method of anaesthesia, de Caux's invention was particularly effective; in 1930 he reported having given 20,868 nitrous oxide/oxygen anaesthetics in a four year period without a fatality. A long flexible metal tube formed from tightly wound metal with a small bulbous introducer at the distal end. The tube is mostly encased in a metal and rubber sheath. The proximal end has a finger ring and screw clamp.endotracheal, de caux, airway, nitrous oxide, anaesthesia -
Geoffrey Kaye Museum of Anaesthetic History
Airway, Pharyngeal, Hewitt's, 1913
... St Kilda Road Melbourne melbourne This is the first iteration ...This is the first iteration of a pharyngeal tube devised by Hewitt in 1913.Round metal tube with a brown rubber tubing sleeve around the outside.Engraved on flat portion of metal tube: MEDICAL SUPPLY / LONDONfrederick hewitt, pharyngeal, intubation, medical supply, london, alfred hospital, melbourne -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Kuhn, Circa 1900
... St Kilda Road Melbourne melbourne The evolution ...The evolution of endotracheal intubation for anaesthesia was a slow process. Franz Kuhn (1806-1929), a head and neck surgeon working in Kassel, Germany, between 1902 and 1911, is said to have done more than any other to obtain general recognition for endotracheal anaesthesia. Kuhn's tube, is a flexible metal one inserted on a stilette which was then withdrawn. The tube was then secured with an elastic neck strap and connected by a rubber tube to a Trendelenburg cone. The glottis was packed with oiled gauze. Metal spiral tube with elaborate handle at one end and rounded at the other. There is a metal clasp at the base of the handle which all forms part of the endotracheal tube. Inside the tube is a curved metal piece that functions as an introducer.kuhn, endotracheal, airway, intubation -
Geoffrey Kaye Museum of Anaesthetic History
Laryngeal Mask Airway, Ambu, Ambu, USA, 2004
... St Kilda Road Melbourne melbourne This is a recent example ...This is a recent example of a Laryngeal Mask Airway (LMA). The LMA was invented in 1983 by British anaesthetist, Archie Brain. The LMA revolutionised anaesthetic practice and by 1995 had been used in excess of 100 million patients and was available in more than 80 countries throughout the world. Green transparent plastic tube connected to a laryngeal maskPrinted in black ink on green plastic tubing: Ambularyngeal mask, brain, archie, airway, ambu -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Uncuffed, A. Charles King Ltd, c.1932
... St Kilda Road Melbourne melbourne This is an early example ...This is an early example of an endotracheal tube (c.1932) invented by Ivan Magill. The shattered faces and jaws of wounded soldiers presented real difficulties for the administration of anaesthesia. Ivan Magill and Stanley Rowbotham developed endotracheal tubes for these procedures that were more efficient and practical than the earlier insufflation catheters.The attached safety pin was used to prevent the loss of the tube down the patient's nose. Orange/brown rubber tubing with a bevelled edge at one end a safety pin stuck through the other end. This tube was used for nasal endotracheal intubation.Printed in black ink on tube: NO. 5 NASAL A. CHARLES KING LTD. MAGILL'S TUBE 27 / BRITISH MADEmagill, endotracheal, intubation, nasal, a. charles king ltd, england -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Uncuffed Rubber Nasal Tube
... St Kilda Road Melbourne melbourne This is an early example ...This is an early example of an endotracheal tube invented by Ivan Magill. The shattered faces and jaws of wounded soldiers presented real difficulties for the administration of anaesthesia. Ivan Magill and Stanley Rowbotham developed endotracheal tubes for these procedures that were more efficient and practical than the earlier insufflation catheters.The attached safety pin was used to prevent the loss of the tube down the patient's nose.Brown rubber tubing with three pairs of holes at one end and a bevelled edge at the other for nasal endotracheal intubation. There is a large safety pin stuck through the first pair of holes.magill, ivan, endotracheal, intubation, nasal, airway -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Double Lumen, Mallinckrodt
... St Kilda Road Melbourne melbourne This is an unused example ...This is an unused example of a Double Lumen Endotracheal Tube. This tube would be used to achieve the selective one sided ventilation of either the right or the left lung. Clear plastic tube with a "v" shaped connector at one end that holds two tubes, one blue one and one clear plastic. There are two finer plastic tubes on either side of the central tube, one blue one and one clear plastic. Blue plastic cuff and a clear plastic cuff are wrapped around the tube at the other end.Printed in black ink on the side of the central tube: Mallinckrodt R 35Fr. LEFT Brocho-Cath TM 27 Do Not Reuse 29 31cm Printed in black ink on blue plastic tube: BRONCHIAL Printed in black ink on clear plastic tube: 35Fr. TRACHEALendotracheal, intubation, double lumen, mallinckrodt, magill, united states of america -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Endotracheal, Double Lumen, Mallinckrodt
... St Kilda Road Melbourne melbourne This is an example ...This is an example of a Double Lumen Endotracheal Tube. This tube is used to achieve the selective one sided ventilation of either the right or the left lung.Clear plastic tube with a "v" shaped connector at one end that holds two tubes, one blue one and one clear plastic. There are two finer plastic tubes on either side of the central tube, one blue one and one clear plastic. Blue plastic cuff and a clear plastic cuff are wrapped around the tube at the other end.Printed in black ink on the side of the central tube: Mallinckrodt R 41Fr. RIGHT Brocho-Cath TM 27 Do Not Reuse 29 I.T. 31cm Printed in black ink on blue plastic tube: BRONCHIAL Printed in black ink on clear plastic tube: 41Fr. TRACHEALendotracheal, magill, intubation, mallinckrodt, united states of america, airway -
Geoffrey Kaye Museum of Anaesthetic History
Tube, Pharyngeal, Cuffed, India Tyre and Rubber Company
... St Kilda Road Melbourne melbourne This is an early example ...This is an early example of a cuffed pharyngeal tube. The cuffed airway was a significant development in pharyngeal tubes as it helped to protect the airway from blood and secretions. Black rubber tubing with spiral metal inner tube and red rubber pump mechanism attachedMoulded onto rubber bulb: Tycos Moulded onto rubber connector: MADE ONLY FOR PATENTEE / INDIA TYRE AND RUBBER CO / INCHINNAN / SCOTLAND Moulded into metal connection: Tycos / LONDONpharyngeal, ndia rubber & tyre company, airway, cuffed, scotland, tycos -
Geoffrey Kaye Museum of Anaesthetic History
Probang
... St Kilda Road Melbourne melbourne Until suction became ...Until suction became available in the 1930s, maintenance of a clear airway during oral and nasal surgery relied on posturing of the patient, mopping with sponges or the temporary placement of swabs or throat guards. Removal of surgical debris such as polyps, blood clots or foreign bodies could only be effected by the finger or devices such as probangs. The Probang is inserted blind (perhaps guided by a finger), the main shaft can then be held in the left hand whilst the right hand withdraws the inner tube. This results in a fanning out of the linear strands which are visible proximal to the tip. Held in this position the instrument is withdrawn and is supposed to scoop out the offending mass. Long flexible metal rod covered in gum resin sheath with a ring grip at the proximal end and a smooth metal rounded edge tip for insertion into the airway for clearing of obstructive matter.Stamped onto gum resin sheath: MADE FOR / CARL ZOELLER BRISBANE / GERMANY Stamped onto gum resin sheath in gold leaf: [indecipherable - presumably manufacturer's label]probang, flexible, oral, airway, horsehair, anaesthesia, obstruction, dr sharkey, lidcombe state hospital -
Geoffrey Kaye Museum of Anaesthetic History
Bottle, Ether, Woolwich Elliott, 1964
... St Kilda Road Melbourne melbourne ether woolwich elliott ...Amber coloured glass bottle with moulded ridges along the outer sphere. Bottle has cork stopper with metal top. White manufacturer's label is adhered to front of bottle with blue and red printed ink.Stamped in red ink onto metal lid: WOOLWICH / ELLIOTT Stamped in black ink on manufacturer's label: JAN 1964ether, woolwich elliott, sydney -
Geoffrey Kaye Museum of Anaesthetic History
Equipment - Sight Feed Type Water Depression Flowmeter, 1925
... St Kilda Road Melbourne melbourne This object dates back ...This object dates back to 1925 and was sectioned by Dr Geoffrey Kaye in 1938. Flowmeters were attached to an anaesthetic machine to measure the flow rate of gas or liquid.Metal cylinder with glass inner chamber and gauge inside. The object has been sectioned for teaching purposes.Manufacturer's marks and instructions on the top screw valve state, K/38, Screw Lightly, Oxygen Fine. Direct Ox. is inscribed on the back of the top valve. G.Kaye fecit. 1938 is inscribed in handwriting on the top of the flowmeter tube. flowmeter, water depression, gas, sectioned, slight feed, anaesthetic machine -
Geoffrey Kaye Museum of Anaesthetic History
Equipment - Ether in Oil
... St Kilda Road Melbourne melbourne Ether in oil was used ...Ether in oil was used for rectal anaesthesia. Rectal anaesthesia offered a way to administer anaesthesia when using a mask was impractical, such as oral or respiratory tract surgery. Undiluted ether was irritating to the bowel and even proved to be fatal. Ether in oil, developed in 1913, minimized irritation with no reported deaths.Empty clear glass bottle with cork stopper which has become dislodged and is now inside the bottle. The bottle has a white label with handwriting on the front. The bottle has been decanted.Handwritten in ink: Ether in Oil / = parts Stamped in red ink on top left corner of label: CAU... [faded and almost indecipherable]ether, ether in oil, rectal administration, anaesthesia -
Geoffrey Kaye Museum of Anaesthetic History
Ampoule, Propanidid
... St Kilda Road Melbourne melbourne Introduced by Bayer in 1963 ...Introduced by Bayer in 1963, Propanidid is an ultra short-acting general anaesthetic. It was withdrawn because of anaphylactic reactions.Set of three clear glass ampoules with product details printed in red ink. There is a clear liquid retained inside each of the ampoules.Printed in red ink: Eponotol / 0,5g Propanidid / in 10ml inj. sol.propanidid, anaesthetic, anaphylaxis, bayer -
Geoffrey Kaye Museum of Anaesthetic History
Ampoule, Hypnotic 8064
... St Kilda Road Melbourne melbourne Thiopentone was known ...Thiopentone was known as Hypnotic 8064 prior to its release onto the market. Thiopentone became popular during the inter-war years as a fast acting, short duration anaesthetic. It is used less frequently now as propofol is more popular. Also known as Pentothal sodium.Thiopentone has also been embroiled in controversy since being linked to deaths following the bombing of Pearl Harbor.Large clear glass ampoule containing powdered Hypnotic 8064. A small white label (now discoloured) with typed information is stuck on to the ampoule.Typed on label: HYPNOTIC 8064thiopentone, propofol, pearl harbor, short duraction, fast acting -
Geoffrey Kaye Museum of Anaesthetic History
Ampoules, Anaesthetic
... St Kilda Road Melbourne melbourne This multi-purpose kit ...This multi-purpose kit contains drugs for resuscitation, sedation and local anaesthetic. It could also assist in the delivery of a baby. The kit holds a selection of pharmaceuticals that would most likely have been used by a general practitioner anywhere between the 1950s and 1980s.Square cardboard box containing 100 separate ampoules of pharmaceuticals. Each ampoule is held in place by a cardboard cover with a round cut-out to match the ampoule. There are ten rows of ten.Handwritten in blue ink on side of box: OCTAPRESSIN Handwritten in blue ink on top of box: 5 units / 100mls saline Handwritten in blue ink on side of box: OCTAPRESSIN / PLV2 Stamped in black ink on manufacturer's label on side of box: Physician's Sample / not for sale / Batch 62 164mestinon, chlorpheniramine maleate, lobeline-hydrochloride b.p.c., adrenalin tartrate, isuprel hcl, vandid, alupent, plv2, ephedrine hydrochloride, atropine sulphate, metaraminol, pituitrin, ergometrine maleate, procaine, largactil chlorpromaz, roche, glaxo-allenburys, boots, boehringer & ingelheim -
Geoffrey Kaye Museum of Anaesthetic History
Vial, Hydrochloride of Cocaine, T Morson & Sons
... St Kilda Road Melbourne melbourne Cocaine was the first ...Cocaine was the first topical anaesthetic. It quickly numbs the area after application. Synthetic drugs provide better local anaesthesia without negative side-effects of cocaine. It is now only used for nasal surgery to prevent bleeding.Small clear glass vial with cork stopper and discoloured [white] manufacturer's label with black printing. There is a small amount of white powder in the vial, presumably hydrochloride of cocaine as per label.Black print on manufacturer's label: Hydrochloride of Cocaine / POISON / T. MORSON & SON / London Englandlocal anaesthetic, hypnotic, cocaine, sedative, morson & son, london -
Geoffrey Kaye Museum of Anaesthetic History
Anaesthetic, Novocain, The Saccharin Corporation Ltd
... St Kilda Road Melbourne melbourne Novocaine is a local ...Novocaine is a local anaesthetic for dentistry. Its first known use was 1906. Square brown glass bottle with round neck and organ rubber stopper. A strand of wire has been wound around the stopper. A discoloured white manufacturer's label is stuck to the front of the bottle with black and red printed text. There is approximately half the liquid remaining in the bottle. Moulded into the bottom of the bottle: J282novocaine, drug, liquid, the saccharin corporation ltd, london, melbourne, j.l. brown & co, local anaesthetic -
Geoffrey Kaye Museum of Anaesthetic History
Phial, Ethyl Chloride, Bengue & Co. Ltd. Mfg. Chemists, Circa 1900
... St Kilda Road Melbourne melbourne The glass phial contained ...The glass phial contained liquid ethyl chloride, little pressure being required to liquefy the gas at room temperature. By directing the nozzle downwards at the skin or mucous membrane to be analgesed, a stream of liquid squirts out, vaporising on contact, thus producing transient local temperatures of approximately -10 qc. Ether's unpleasant smell agitated patients. Ethyl chloride's pleasant odour reduced agitation. It could be used for induction and worked quickly without irritating respiratory passages. Ethyl chloride spray could also be used as a local anaesthetic. Faded rectangular burgundy box containing a glass phial with metal and rubber lid that forms a spray nozzle. The lid of the box had a mustard coloured manufacturer's label wtih burgundy writing. The phial has a discoloured white label with red writing and a blue label with white writing.Printed in white ink on blue label: IMPORTANT / NOT DESTROY THIS TUBE, IT CAN / BE REFILLED FOR / 2/10bengue & co. ltd., london, ethyl chloride, 1900, local anaesthesia -
Geoffrey Kaye Museum of Anaesthetic History
Vial, Ketalar, Parke Davis
... St Kilda Road Melbourne melbourne Ketamine is useful ...Ketamine is useful for inducing anaesthesia in shocked patients. It is also commonly used in low doses or infusions for the management of chronic pain. It can produce a state of 'dissociative anaesthesia', where patients are pain free, but not necessarily unconscious. Three small glass vials with different colour print labels on each containing 10ml Ketalar (Ketamine Hydrochloride).local anaesthetic, ketalar, ketamine hydrochloride, shock, parke davis -
Geoffrey Kaye Museum of Anaesthetic History
Ampoule, Propofol, Biochemie Australia (Novartis)
... St Kilda Road Melbourne melbourne Propofol is an induction ...Propofol is an induction agent for anaesthesia and also used in intensive care to induce unconsciousness. Propofol doesn't dissolve in water so it comes in a white, oily solution and must be refrigerated before it’s used. The solution consists of soybean oil, fats purified from egg yolks, and glycerol. Propofol is used as an “induction agent”—the drug that causes loss of consciousness— for general anaesthesia in major surgery. In lower doses it is also used for “conscious sedation” of patients getting procedures on an outpatient basis at ambulatory surgery centres. The main reason propofol is the agent of choice is because it allows for very rapid recovery, is the perfect drug for insertion of laryngeal masks and is the agent of choice for infusions. It has largely replaced thiopentone, the original drug of choice, but this is still available in Australia and used in specific situations. Propofol was linked to the death of Michael Jackson. Large clear glass ampoule with adhered manufacturer's label blue on white label containing the milky liquid of Propofol BC, 20mls.propofol, local anaesthetic, intensive care, jackson, michael, biochemie australia (novartis) -
Geoffrey Kaye Museum of Anaesthetic History
Kelene, Gilliard, Monnet & Cartier, 1890
... St Kilda Road Melbourne melbourne Kelene is the proprietary ...Kelene is the proprietary name used for ethyl chloride in France which became synonymous with the agent in Europe. The manufacturer, Gilliard P. Monnet and Cartier of Lyon, also supplied Redard with his ampoules in 1890. Ethyl chloride was discovered by the French chemist Guillaume-Francois Rouelle in 1759; however it was not until 1901 that Frederic-Henri Basse manufactured sufficient for scientific study. Marie Jean-Pierre Flourens, Professor Comparative Anatomy at the University of Paris, first reported the effect of the inhalation of ethyl chloride after some experiments with and other agents in dogs. He described three experiments in which the dogs died, however death followed a period of insensibility as with ether although of much faster onset.Ten large glass phials containing 3g Kelene (Ethyl Chloride) stored in their original packaging. The box originally had twelve phials with now only ten remaining. Of the ten, 8 still contain the Kelene, 1 phial is empty but intact and 1 phial is broken. The cardboard box has a maroon paper cover, removable top with the product label and literature pasted across the base and top of the package. All product information is in French.ethyl chloride, kelene, local anaesthetic, gilliard p. monnet and cartier, france -
Geoffrey Kaye Museum of Anaesthetic History
Boyle's Machine, British Oxygen Company, circa 1950
... St Kilda Road Melbourne melbourne This Boyle’s machine ...This Boyle’s machine was made by the British Oxygen Company (BOC) in the 1950’s. The original Boyle's machine was invented by the British anaesthetist, Henry Boyle in 1917. His machine was a modification of the American Gwathmey apparatus of 1912, and became the best known early continuous flow anaesthetic machine. The Boyle’s machine was first made by Coxeter and Sons, under the direction of Lord George Wellesly, which was later acquired by the British Oxygen Company (BOC). Though a lot of changes have been made to the original design of the Boyle’s machine, the basic structure remains the same today.Green trolley on casters with flowmeter and vaporiser bottles attached to a stainless cross bar. There is a glass shelf at top of the trolley and a second glass shelf at base of trolley, above a pull out drawer. The pull out drawer contains 4 x black rubber masks, 3 x black rubber tubing connectors, 4 x seals, 1 a black corrugated rubber hose with red rebreather bag, red tube and masonite support board.Tin plate attached to upper portion of trolley: THE / BOYLE / apparatus / BY THE BRITISH OXYGEN CO. LTD.henry boyle, anaesthetic machine, gas, oxygen, flowmeter, nitrous oxide, british oxygen company, boc, coxeter and sons -
Geoffrey Kaye Museum of Anaesthetic History
Shipway's Apparatus, Circa 1916
... St Kilda Road Melbourne melbourne Recognising that warmed ...Recognising that warmed ether was less irritating to the airway and patients receiving it were less likely to experience shock, Francis Shipway developed the Shipway's apparatus which was used during World War 1 and continued to be used through to World War 2. Reduction of shock for patients who had experienced trauma was crucial to their later recovery, particularly during war times. This example of the Shipway's apparatus also has the facility for administering chloroform.A triangular metal stand with two glass jars sitting in a metal tub and a green metal jar that looks like a thermos, also sitting in a metal tub. A metal pole has been screwed into the centre point of the stand, with a circular top to act as a handle. One of the jars has a rubber stopper in the neck with metal tubing attached to the stopper. The other glass jar has a metal screw top with a dropper spout. The two glass jars are connected via red rubber tubing. The apparatus has been sectioned in parts to show the inner mechanisms.Typed in black ink on white paper and adhered to metal bath: SHIPWAY'S APPARATUS •Typed in black ink on white paper and adhered to metal bath: ETHER VAPORISER •Typed in black ink on white paper and adhered to metal bath: THERMOS WITH HOT WATER •Typed in black ink on white paper and adhered to glass bottle: CHLOROFORM VAPORIZER •Typed in black ink on white paper and adhered to metal connector: TO AIR BELLOWS •Typed in black ink on white paper and adhered to tube in thermos: DELIVERY TUBE •Moulded into base of thermos: THERMOSshipway, world war i, warmed ether, endotracheal, chloroform -
Geoffrey Kaye Museum of Anaesthetic History
Insufflation anaesthesia machine
... St Kilda Road Melbourne melbourne In 1913, Mark Cowley ...In 1913, Mark Cowley Lidwill designed a machine for the purpose of mechanical or insufflation anaesthesia. The Lidwill machine was a portable machine weighing 7kg that could easily be packed into two small bags. The machine involved compressed air being delivered to an ether vaporiser. An ether/air control device allowed varying concentrations of ether to be delivered. The ether vaporiser could be immersed in hot water to prevent cooling and the ether temperature was measured. From the vaporiser, the ether/air mixture went through a trap bottle, then to a crude mercury blow-off valve and subsequently to the patient.Large leather suitcase style bag divided into two levels containing and insufflation anaesthesia machine.insufflation, mark cowley lidwill, thoracic surgery, positive pressure