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October 22, 1932


JAMA. 1932;99(17):1446. doi:10.1001/jama.1932.02740690056031

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To the Editor:  —In The Journal, September 17, in the article on "Advances in Anesthesia from the Standpoint of the Anesthetist," by Lundy, is the statement: "Ether given by rectum is being replaced by tribromethyl alcohol (avertin) or tribromethyl alcohol and amylene hydrate. This seems to be an advance. When anesthesia is produced by ether given rectally, it is less easily controlled than when it is given by inhalation." Colonic ether is not being replaced by tribromethyl alcohol in New York and elsewhere. If an operation is expected to last not over an hour, tribromethyl alcohol is used. If the operation may last two hours or more, colonic ether is used.As absorption of tribromethyl alcohol occurs more rapidly than the containing water (80 per cent in twenty minutes), it is not controllable as is oil-ether. There is less danger from every standpoint with oil-ether, and the anesthesia is more

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