Gas-oxygen in the field of ear, nose and throat surgery presents some peculiar advantages over other anesthetics. It also has its disadvantages. Of the latter, perhaps the most noticeable is the difficulty in abolishing the pharyngeal reflex unless morphin also is employed. A second objection is the requirement of an apparatus particularly adapted to this work. And third, in the hand of a slow operator, the expense for the gases is much greater than for ether.
The following incidents, illustrative of the points I wish to make, I believe show advantages that quite outweigh any disadvantages I have mentioned. In some instances, these situations have been responsible for changes in technic, while in others they have proved the procedure used to have been well conceived.
While anesthetizing a 12 year old girl in the recumbent posture for tonsillectomy, as the adenoid was cut loose with an open adenotome, she inhaled
McKESSON EI. PURE GAS-OXYGEN ANESTHESIA FOR EAR, NOSE AND THROAT SURGERY. JAMA. 1924;83(19):1502–1504. doi:10.1001/jama.1924.02660190034012
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