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August 7, 1943


Morris L. Rotstein, M.D.; Resident, Sinai Hospital.
JAMA. 1943;122(15):1034. doi:10.1001/jama.1943.02840320052024

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To the Editor:—  In the July 3 issue of The Journal Dr. Maurice Small of Parsons, W. Va., wrote a clinical note with the title "A Serious Complication of Caudal Anesthesia." In his note he states that while one of his patients was getting caudal anesthesia she went into respiratory failure and resuscitatory measures had to be instituted in order to save her life.As a worker in the field of caudal anesthesia, I would like to make some comment on this case. There is no doubt that the needle was in the caudal space, as was proved in two ways:

  1. The rate of flow of the gravity grip was 60 drops per minute.

  2. The patient had good anesthesia and analgesia and had been getting the injection for a full hour before untoward symptoms appeared. If the needle had been in the spinal canal the patient would have

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