[Skip to Content]
[Skip to Content Landing]
Other Articles
November 27, 1937


Author Affiliations

Kansas City, Mo.

From the Neurological Hospital (the Robinson Clinic, Inc.).

JAMA. 1937;109(22):1834. doi:10.1001/jama.1937.02780480066026

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor:—  The treatment of coma in insulin shock resembles surgical narcosis in several respects, one of them being the danger of aspiration of mucus due to increased secretion of saliva and the absence of pharyngeal reflexes. It is an established fact, known for generations, that aspiration in surgical narcosis is best prevented by placing the patient in a flat position, head turned, so as to permit the saliva to flow out of the mouth.In view of that fact, it seems strange that the half upright position has been recommended for comatose insulin shock patients in some recent publications (Wilson, Isabel G. H.: A Study of Hypoglycaemic Shock Treatment in Schizophrenia, Board of Control, H. M. Stationery Office, 1937. Cameron, D. E., and Hoskins, R. G.: Experiences in the Insulin-Hypoglycemia Treatment of Schizophrenia, The Journal, October 16, p. 1246) and doubtless in earlier papers from which they are

First Page Preview View Large
First page PDF preview
First page PDF preview