Fall2020Digest | Page 6

FALL 2020 Italian American Digest PAGE 6 Remembering Dr. John Adriani, the father of anesthesiology John Adriani is considered by many to be the father of modern anesthesiology. The Director of Anesthesiology at Charity Hospital in New Orleans and president of the American Board of Anesthesiology (ABA,) Dr. Adriani brought anesthesiology into the 20th century. Born to Italian immigrants in Bridgeport, Connecticut in 1907, Adriani was the oldest of nine children. He graduated from Columbia University and received his medical degree from the Columbia University College of Physicians and Surgeons. As a medical student, Adriani was troubled that there was only one anesthesia related lecture in the curriculum. The subsequent death of one of his patients from an anesthesia related complication led him to choose anesthesiology as a career path. He further studied anesthesiology at Bellevue Hospital and NYU Medical Center under anesthesiologist Emery Andrew Rovenstine. After his training with Rovenstine, Adriani became a member of his staff as an instructor. In 1941, Adriani became director of anesthesiology at the newly constructed Charity Hospital. Adriani was concerned that the anesthesia services staff were disorganized and poorly trained. Dr. John Adriani (1907 - 1988) served as director of Charity Hospital Adriani worked with physicians and nurses, lecturing to them on anesthesia-related topics. The result was that Charity developed an anesthesia residency program for physicians as well as an accredited school of nurse anesthesia. In addition to his anesthesia work, he established Charity's blood bank and bone bank, and he directed the hospital's inhalation therapists. At the time, the ABA was opposed to physicians assisting in the training of nurse anesthetists. The ABA went further, saying that they prohibited anesthesiologists from lecturing at meetings of nurse anesthetists and threatening to cancel the board certifications of anesthesiologists who participated in such training. Adriani resisted, feeling that nurse anesthetists benefitted from doctors’ input, making for safer practices. He also told the ABA that he would bring a case in federal court if they revoked his certification. Adriani continued to assist in the trainings, and the ABA eventually relented then officially dropped the policy in 1965. This change of direction was informally known as the Adriani rule. Adriani eventually served as ABA president. While Adriani was at Charity, he served on the faculty at the Tulane University School of Medicine and the LSU School of Medicine. In the late 1960s, Adriani briefly served as head of the Bureau of Medicine at the Food and Drug Administration (FDA). Adriani officially retired in 1974. He died in 1988.