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Article
February 3, 1923

A SAFE METHOD OF ANESTHETIZING CHILDREN WITH ETHYL CHLORID

JAMA. 1923;80(5):321. doi:10.1001/jama.1923.26430320003011c

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Abstract

Ethyl chlorid is a serviceable anesthetic, though it has limitations. Its proper field is in the induction stage, as a preliminary to ether anesthesia for children. For adults, I have found that nitrous oxid is better; but it may also be used as an adjunct to ether for adults. Its greatest field is with children under 10 years of age. Most of the textbooks on general anesthesia rely on the loss of consciousness as the indication to stop its administration. This is too indefinite and dangerous.

PROCEDURE  To administer ethyl chlorid, a Yankauer mask is covered with eight or ten layers of gauze for children under 8 years of age, and from ten to fifteen layers for older children. The mask is placed over the mouth and nose, and the child is asked to count slowly. The ethyl chlorid is slowly dropped, never sprayed, over different parts of the mask,

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