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January 2, 1943


Author Affiliations


From the Department of Anesthesia, the Lahey Clinic.

JAMA. 1943;121(1):32-35. doi:10.1001/jama.1943.02840010034007

The success of any anesthesia is dependent on three general factors: (1) the patient and his disease,1 (2) the choice of agent and method of administration2 and (3) the skill and experience of the person administering the anesthesia. This is especially true when anesthesia by means of the subarachnoid route is elected.

My purpose in this paper is to mention or review some of the objective findings, observations, points in technic and corrective steps instituted that have an important influence on the success of anesthesia by the subarachnoid route. For purposes of coherence, these specific clinical factors will be presented under the following subtitles: (1) preparations of the patient including preoperative medication,3 (2) choice of agent and method, and (3) administration of the agent and its supervision.

PREPARATION OF THE PATIENT  The preparation of a patient for spinal anesthesia not only necessitates a thorough knowledge of the