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To the Editor:
—I have noted in The Journal, April 4, page 1168, the excellent suggestions of Dr. Edward G. Martin in reference to "Spinal Anesthesia Excluding the Motor Nerves" and I am happy to be able to confirm his observations for I have been using small doses (from 40 to 70 mg.) of procaine intraspinally since October, 1929.There is another decided advantage, I believe, which the intradural administration of procaine makes available, when the procedure permits, and that is the use of the ventral posture. The lateral (Sims) and dorsal postures are not ideal for anorectal treatments. Surgical treatment of the anus and rectum can be executed with comfort to the patient and with greater ease to the surgeon when the patient is placed in a ventral, semiflexed posture. With the patient lying prone on the table this can be effected by "breaking the table" so as to
Horgan J. "SPINAL ANESTHESIA EXCLUDING THE MOTOR NERVES". JAMA. 1931;96(22):1893. doi:10.1001/jama.1931.02720480050029