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Article
December 24, 1898

USE AND ABUSE OF COCAIN.

JAMA. 1898;XXXI(26):1536-1537. doi:10.1001/jama.1898.02450260040006

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Abstract

When we reflect upon the almost universal use of this drug in medical and surgical practice it is difficult to understand that but fifteen years have elapsed since its introduction to the medical world. Even at that time it was thought by those acquainted with its uses that a new era had been opened, particularly in the realm of minor surgery, but probably its most sanguine adherents little reckoned that in so short a time it would become so well known as to escape the bounds of professional watchfulness. Its advantages in small and short surgical operations, where without its use general anesthesia would become almost imperative, has been exemplified times without number. The injection of a 0.5 per cent, solution into the deeper layers of the skin along a proposed line of incision will make that incision practically painless, and abdominal sections have been performed under this local anesthesia

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