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January 4, 1936


Author Affiliations

New Haven, Conn.

JAMA. 1936;106(1):64. doi:10.1001/jama.1936.02770010066025

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To the Editor:—  In The Journal, Nov. 30, 1935, Drs. L. J. Robinson and Sydney Selesnick presented an interesting and valuable discussion of the treatment of acute alcoholism with 10 per cent carbon dioxide and 90 per cent oxygen. They did not undertake to decide whether oxygen is really needed along with carbon dioxide, or whether carbon dioxide alone, which is far less expensive, would not be entirely adequate.What I wish to call attention to is, however, mainly the fact that the apparatus and technic that they use is that which is suitable to carbon dioxide alone and is wasteful, expensive and often inadequate with the mixed gases. If the mixed gases are to be administered, an apparatus of the type of the H. H. inhalator, such as the rescue crews use in carbon monoxide cases, is best. With it all the gas is inhaled, yet without any rebreathing.

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