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The Book Forum
April 13, 1964

Anesthesia for Infants and Children

JAMA. 1964;188(2):189. doi:10.1001/jama.1964.03060280091036

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Abstract

The first edition of Dr. Smith's book in 1959 provided a long-needed service in bringing together ideas and practices in pediatric anesthesia. For 14 years he had been carefully evolving a discipline for the management of his many anesthesia problems at Boston Children's Hospital. In 1959 Dr. Smith's conservative approach to many of his problems might have been acceptable, since he represented an authoritative group.

It is disappointing that in 1963, in the second edition of his book, he has changed little. What seemed conservative in 1959 might be construed as old-fashioned in 1964. For example, there is little enthusiasm for advanced monitoring, very little information on hypothermia in encephalitis and head injuries. He continues to advocate the use of ether for neurosurgical operations and has a timid approach to controlled respirations—especially in neonatal operations. The many illustrations of open-drop techniques and the antiquated suggestions for anesthesia for pyloric stenosis

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