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To the Editor:—
The editorial on forced spinal drainage in acute poliomyelitis in The Journal, September 26, should be corrected in the part describing my technic. Your description is erroneous. It begins with the statement "Since then the suggested technic has been simplified by Retan, who reported equally beneficial effects on omitting the accompanying lumbar or cistern puncture." The treatment period is of five hours instead of eight. The suggested rate of injection of the hypotonic salt solution is 10 cc. per pound hourly, never giving over a liter an hour and reducing the rate of injection during the last two hours of treatment; also decreasing the rate of injection if the blood pressure rises. Free drainage of cerebrospinal fluid is never allowed for fear of cerebellar herniation. The technic in relation to drainage of cerebrospinal fluid follows: At one-half hour intervals the nurse in charge of the case should
Retan GM. THE RETAN TECHNIC OF SPINAL DRAINAGE. JAMA. 1943;121(1):71. doi:10.1001/jama.1943.02840010073026