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June 20, 1953

Analgesia and Anesthesia in Obstetrics.

JAMA. 1953;152(8):772. doi:10.1001/jama.1953.03690080116037

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This monograph briefly presents the author's views on the management of analgesia and anesthesia in obstetrics. The subject is discussed more from the viewpoint of an obstetrician than from that of an anesthesiologist. The book is divided into 11 chapters containing abbreviated descriptions of techniques, with the notable omission of continuous spinal anesthesia.

The book appears too hastily compiled. The author divides the presentation of material concerning subarachnoid block, and his opinions regarding this procedure, as well as the advisability of the use of pituitary extract, are not in agreement on different pages. The discussion of thiopental (Pentothal) sodium is not up-to-date with regard to its pharmacological action and the need for additional oxygen or nitrous oxide-oxygen analgesia to prevent anoxia. Other safeguards are omitted. The suggested margin of 10% oxygen with nitrous oxide is inadequate. The author's opinion on the use of infiltration anesthesia for dilatation and curettage in

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