Transactions of the Annual Meeting of the American Laryngological Association
Transactions of the Annual Meeting of the American Laryngological Association
American Laryngological Association
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as skilled or safe. I would rather administer it myself than en- trust it to the average hospital internes, who have gotten out of the way of using chloroform and crowd its administration too much, while they are experts in using other anesthetics. Whether' this is the case in hospitals elsewhere I do not know, but I am sure it is the case in our part of the country. Dr. Freer. — It seems to me that my paper has elicited a dis- cussion on chloroform rather than on the operation I described. Sti...ll I am pleased to find that the ringknife has so few defenders in this society. I think that Dr. Ingals has a wrong impression as to the amount of cocaine employed by me in operations. For intranasal operations without general narcosis I do not think that I use larger quantities than he does, but I employ the drug pure, in the form of Merck's flake crystals, therefore in the utmost concentration. I think that the same amount of cocaine used in this way gives a more profound local insensibility than when it is diluted and also think that the energetic contraction of the ves- sels produced by the pure drug aided by preceding adrenalin pos- itively prevents poisoning.
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