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To the Editor:—
Dr. McCormick's correspondence (The Journal, March 15, p. 801) stressed the danger of continuous caudal anesthesia in obstetrics and mentioned a number of maternal deaths. The clinic with which I am associated has one of the largest series from any one clinic in the country. Since October 1942 we have used this method in 4,180 cases without a maternal death. There have been 3 cases of superficial skin infections which occurred during the first 500 cases. There was 1 fetal death attributable to it.It is my belief that the fatalities can be prevented by a properly trained group working as a team. Such a plan calls for a resident and assistants. Our men are supervised until they have given fifty to sixty caudal anesthesias. And once a caudal anesthesia is instituted the patient has in constant attendance either an assistant resident or an intern who keeps
Irving FR. CONTINUOUS CAUDAL ANESTHESIA IN OBSTETRICS. JAMA. 1947;134(2):207. doi:10.1001/jama.1947.02880190095025