Dr. Gertie F. Marx, Helped Advance The Use Of Epidural

From: Dean Huffman (huffmand@bronsonhg.org)
Thu Jan 29 14:00:53 2004


..

NY Times

http://www.nytimes.com/2004/01/29/nyregion/29MARX.html

Dr. Gertie F. Marx, a Pioneer in Her Specialty, Dies at 91

By JEREMY PEARCE

Dr. Gertie F. Marx, a New York anesthesiologist who helped advance the use of modern epidural injections that ease women's pain during childbirth, died on Sunday at the Schervier Nursing Care Center in the Bronx, according to Dr. Jill M. Rabin, a friend and colleague. Dr. Marx was 91.

At a time when anesthesia was reserved for complicated deliveries and Caesarean sections, Dr. Marx became an early and vigorous advocate of what became known as the epidural and helped show that it was safe and effective. The procedure places a catheter next to a patient's spine, allowing a sedative to block the sensation of pain without paralyzing the birth canal.

Dr. Marx worked at Beth Israel Hospital for more than a decade before joining the Albert Einstein College of Medicine of Yeshiva University in 1955. For the next four decades, she continued her clinical practice and research at Einstein. She developed an epidural needle that bears her name and became the founding editor of Obstetric Anesthesia Digest, the original publication in the field.

Before Dr. Marx, a doctor might or might not have given sedation or pain relief in childbirth, said Dr. Paul L. Goldiner, chairman of the anesthesiology department at the Mount Sinai School of Medicine in Manhattan. "She single-handedly pushed the development of obstetric anesthesiology as a specialty."

Gertie Florentine Marx was born in Frankfurt and left Germany in the 1930's, after the Nazi government began to deny Jews entrance to universities. She received her medical degree from the University of Bern, in Switzerland, in 1937, before immigrating to the United States.

Dr. Marx later married Eric Reiss, a radiological technician whom she had met in Germany, said Dr. Goldiner. Mr. Reiss died in the 1960's, and the couple had no children.

In 1993, Dr. Marx was awarded a College Medal from the Royal College of Anaesthetists, in a presentation made by Queen Elizabeth II. She was a fellow of the American College of Anesthesiologists and an associate fellow of the American College of Obstetrics and Gynecology. She received a distinguished service award from the American Society of Anesthesiologists.

Dr. Marx became a professor emerita at Einstein in 1995, and spent most of her time at home in Southbury, Conn., before recently moving to an assisted-living facility there.

She is survived by a cousin, Dr. Ronald Simon of New York, and by her close friend and former student, Dr. Rabin, also of New York.

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Note: She has a spinal needle named after her, the Gertie Marx Spinal Needle.

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Some of her publications:

Yun EM, Marx GF, Santos AC. The effects of maternal position during induction of combined spinal-epidural anesthesia for cesarean delivery. Anesth Analg. 1998 Sep; 87(3): 614-8. PMID: 9728840

Foster MA, Marx GF. Accidental total spinal block (2) Can J Anaesth. 1993 Jul; 40(7): 685-6. No abstract available. PMID: 8403150

Pascoe HF, Jennings GS, Marx GF. Successful spinal anesthesia after inadequate epidural block in a parturient with prior surgical correction of scoliosis. Reg Anesth. 1993 May-Jun; 18(3): 191-2. PMID: 8323895

Markowitz A, Farcon EL, Marx GF. Osteitis condensans ilii misdiagnosed as post-epidural block backache. Reg Anesth. 1992 Nov-Dec; 17(6): 355. No abstract available. PMID: 1286058

Elstein ID, Marx GF. Electrocardiographic changes during cesarean section under regional anesthesia. Anesth Analg. 1990 Jul; 71(1): 103. No abstract available. PMID: 2400449

Marx GF, Elstein ID, Schuss M, Anyaegbunam A, Fleischer A. Effects of epidural block with lignocaine and lignocaine-adrenaline on umbilical artery velocity wave ratios. Br J Obstet Gynaecol. 1990 Jun; 97(6): 517-20. PMID: 2378829

Seidman SF, Marx GF. Epinephrine test dose is not warranted for confirmation of intravascular migration of epidural catheter in a parturient. Can J Anaesth. 1988 Jan; 35(1): 104-6. No abstract available. PMID: 3349547

Alcantara LG, Marx GF. Cesarean section under epidural analgesia in a parturient with mitral valve prolapse. Anesth Analg. 1987 Sep; 66(9): 902-3. No abstract available. PMID: 3619097

Marx GF, Domurat MF, Costin M. Potential hazards of hypoglycaemia in the parturient. Can J Anaesth. 1987 Jul; 34(4): 400-2. PMID: 3608060

Marx GF, Patel S, Berman JA, Farmakides G, Schulman H. Umbilical blood flow velocity waveforms in different maternal positions and with epidural analgesia. Obstet Gynecol. 1986 Jul; 68(1): 61-4. PMID: 3523331

Marx GF. Cardiopulmonary resuscitation of late-pregnant women. Anesthesiology. 1982 Feb; 56(2): 156. No abstract available. PMID: 7055334

Jawalekar SR, Marx GF. Cutaneous cerebrospinal fluid leakage following attempted extradural block. Anesthesiology. 1981 Apr; 54(4): 348-9. No abstract available. PMID: 7212340

Deen SM, Marx GF. Fusion between catheter and stylet: an unusual complication of extradural analgesia. Anesth Analg. 1980 Jul; 59(7): 516. No abstract available. PMID: 7190790

Hertz R, Chiovari CA, Marx GF. Delayed Horner's syndrome following obstetric extradural block. Anesth Analg. 1980 Apr; 59(4): 299-300. No abstract available. PMID: 7189370

Shiau HF, Hwang HS, Marx GF. Prevention of external kinking of extradural catheters. Anesth Analg. 1977 Nov-Dec; 56(6): 865-6. No abstract available. PMID: 563194

Hodgkinson R, Marx GF, Kim SS, Miclat NM. Neonatal neurobehabioral tests following vaginal delivery under ketamine, thiopental, and extradural anesthesia. Anesth Analg. 1977 Jul-Aug; 56(4): 548A. PMID: 560143

Kim YI, Mazza NM, Marx GF. Massive spinal block with hemicranial palsy after "test dose" for extradural analgesia. Anesthesiology. 1975 Sep; 43(3): 370-2. No abstract available. PMID: 1163840

Villa EA, Marx GF. Chloroprocaine-bupivacaine sequence for obstetric extradural analgesia. Can Anaesth Soc J. 1975 Jan; 22(1): 76-8. PMID: 1109709

Marx GF. Obstetric anesthesia in the presence of medical complications. Clin Obstet Gynecol. 1974 Jun; 17(2): 165-81. No abstract available. PMID: 4844197

Galbert MW, Marx GF. Extradural pressures in the parturient patient. Anesthesiology. 1974 May; 40(5): 499-502. No abstract available. PMID: 4822393

Eckstein KL, Oberlander SG, Marx GF. Uterine rupture during extradural blockade. Can Anaesth Soc J. 1973 Jul; 20(4): 566-8. No abstract available. PMID: 4718359





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