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April 1950


Author Affiliations

From the Departments of Anesthesiology and Ophthalmology, Delaware Hospital.

Arch Ophthalmol. 1950;43(4):653-660. doi:10.1001/archopht.1950.00910010664004

THIS paper constitutes a preliminary report of a new technic of administering general anesthesia for cataract extraction, with a discussion of the advantages and disadvantages.

Local anesthesia is currently used in the larger number of such operations. Although there are many instances in which general anesthesia would be preferable, the fear of unpredictable adverse results has militated against its wider acceptance.

METHODS, AGENTS AND EQUIPMENT  In 1935 Lundy1 announced the clinical use of thiopental sodium U. S. P. (pentothal sodium®). This drug has now been used in hundreds of thousands of cases, for nearly every type of surgical procedure. Except for cataract surgery, the use of thiopental for operations on the eye has been fairly extensive. Some workers2 have been enthusiastic because of the relative absence of difficulties of induction, the smooth maintenance and the low incidence of postoperative nausea. Others3 have been cautious in its use

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