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My apology for the following polemic on a brief article entitled an "Improved Method of Cocain Anesthesia for the Nasal Mucous Membrane," which appeared in the Journal of May 22, p. 976, is the fact that the general use of so dangerous a drug as cocain demands our scrutiny of the various methods of its employment. In the article referred to Dr. Anderson gives his method of local anesthesia, which consists in a preliminary use of a one-tenth per cent solution of cocain as a spray to the nasal mucosa, which after being repeated in thirty seconds is followed by the use of a 25 per cent. solution on a probe, armed with a whisp of cotton.
The object of this kindly criticism of Dr. A.'s method is to check any tendency the article might create to the too bold and free use of that dangerous drug.
The "preliminary spray
OAKS JF. IMPROVED METHOD OF COCAIN ANESTHESIA.. JAMA. 1897;XXIX(3):116-117. doi:10.1001/jama.1897.02440290022001j