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March 12, 1955


Author Affiliations

Assistant Anesthesiologist The Presbyterian Hospital in Philadelphia 51 N. 39th St. Philadelphia.

JAMA. 1955;157(11):945-946. doi:10.1001/jama.1955.02950280069021

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To the Editor:—  In the Dec. 25, 1954, issue of The Journal, page 1628, Dr. Amos R. Koontz comments at some length on a patient being made to cough vigorously while still under the effects of an anesthetic and on the hazards of this procedure in terms of what might happen to the wound. It may be, as the author states, that "the practice of sucking out the trachea is very much overdone," and in the case in point the surgeon may have been quite justified in accusing the anesthetist of "not playing on the ball team," but in the process of stating his point so vigorously Dr. Koontz has gone to the opposite extreme and has suggested certain procedures which are both ineffective and hazardous.He states, "If, at the end of operation, after the anesthesia has become light, it is considered necessary to do it [i. e., tracheobronchial

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