[Skip to Content]
[Skip to Content Landing]
October 13, 1923


JAMA. 1923;81(15):1270-1275. doi:10.1001/jama.1923.02650150024008

This constitutes a report of my individual experience covering more than fifteen years' use of scopolamin and morphin in conjunction with local anesthetics in nose, throat and ear surgery. After a summer semester spent at the University of Freiburg in 1905, during which my attention had been attracted by the "twilight sleep" in vogue in the obstetric pavilion, I conceived the idea that a modification of this hypodermic narcosis might be advantageous to ear, nose and throat surgery. Many years later I learned that the same idea had occurred to Dr. Myron Metzenbaum, and that in 1900 he had begun the application of this to surgery in this field. To Dr. Metzenbaum belongs the credit of introducing the use of this anesthesia, at least to laryngologic surgery, and as far as I know, his work may antedate that of the obstetricians. I have been unable to find the exact date