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July 23, 1927


Author Affiliations

84 Orms Street, Providence, R. I.

JAMA. 1927;89(4):311. doi:10.1001/jama.1927.02690040051027

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To the Editor:  —I have just received The Journal, May 7, in which there is an article entitled "Brachial Plexus Block: Its Clinical Application." To some of the statements made I must take friendly issue. In one part of the article in question the statement is made in effect that the practice of seeking for paresthesias in the extremities in doing a brachial plexus block is dangerous and not to be countenanced, and that "the cords of the plexus cannot be touched by the needle with impunity." Kulenkampff is an acknowledged master in this work and is, after Hirschel (whose method of axillary approach to brachial plexus nerve block is not commonly used), a pioneer in the field and the protagonist of the supraclavicular route of approach. Heinrich Braun, too, needs no introduction as a surgeon and student of local anesthesia. Now, it has been my privilege to be under

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