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December 6, 1919


JAMA. 1919;73(23):1766-1767. doi:10.1001/jama.1919.26120490001014

The usual procedure employed in the induction of therapeutic pneumothorax consists of two steps: First, a local anesthetic is injected into the skin, subcutaneous tissue, and pleura; second, a special needle is inserted through which the gas is introduced.

About four years ago, Dr. Alfred Meyer1 suggested that the operation could be much simplified by introducing the gas through the same needle with which the local anesthetic is injected. He accomplishes this by disconnecting the syringe from the needle and slipping the rubber tubing leading to the gas apparatus over the butt of the needle, or by attaching the rubber tubing to the needle by means of an adapter. Working under the direction of Dr. Meyer, we have been using this method for some time in primary inflations as well as in refills, and it has proved to be quite satisfactory. Recently Gammons2 and others have reported that

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