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Article
September 14, 1957

PREANESTHETIC USE OF ATROPINE AND SCOPOLAMINE IN PATIENTS WITH GLAUCOMA

Author Affiliations

New York

From the departments of anesthesiology and ophthalmology, Columbia University, College of Physicians and Surgeons, and the Anesthesiology Service and the Institute of Ophthalmology, the Presbyterian Hospital.

JAMA. 1957;165(2):144-146. doi:10.1001/jama.1957.02980200024007
Abstract

In patients with glaucoma some confusion exists regarding the parenteral use of atropine and scopolamine as preanesthetic medication for nonocular surgery. This study suggests that there is no danger in using the belladonna drugs intramuscularly for preoperative medication. A single dose of atropine sulfate (up to 0.6 mg.) and scopolamine hydrobromide (up to 0.6 mg.) may be used. Pilocarpine hydrochloride (1 to 2%) or physostigmine salicylate (0.25% to 1%) should be instilled into the conjunctival sac to produce miosis to counteract the potential mydriatic effect of the belladonna drugs and the anesthetic agents.

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