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November 17, 1945

INTRAVENOUS ANESTHESIA FOR ORTHOPEDIC SURGERY

Author Affiliations

PITTSBURGH

From the Department of Anesthesiology, University of Pittsburgh School of Medicine, and St. Francis Hospital.

JAMA. 1945;129(12):789-793. doi:10.1001/jama.1945.02860460013003
Abstract

In the past decade intravenous anesthesia has shown a definite and consistent increase in its application and use. I feel that this form of anesthesia has a definite place in orthopedic surgery for the following reasons:

  1. The technic of administration is simple.

  2. The induction period is short and pleasant.

  3. The usual psychic shock is absent.

  4. The depth of narcosis is controllable and sufficient for any orthopedic procedure.

  5. It may be repeated without danger of becoming habit forming.

I am not attempting to advocate intravenous anesthesia for all types of orthopedic patients. I wish to emphasize that the contraindications for the use of the intravenous agents must be observed. Children under 7 or 8 years of age, unless very robust, are poor subjects. Apart from their natural fear and small veins, the inertia of the air and their narrow air passages hinder gaseous exchanges and create

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