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April 10, 1954


Author Affiliations

Chief, Anesthesiology Service Columbia Hospital Washington, D. C.

JAMA. 1954;154(15):1301. doi:10.1001/jama.1954.02940490065019

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To the Editor:—  As the chief of the anesthesiology service at Columbia Hospital in Washington, D. C., I was interested in the article entitled "Spinal Anesthesia in Cesarean Section" by Dr. Donald W. deCarle in the Feb. 13, 1954, issue of The Journal. We have passed through the stages of using first general anesthetics for cesarean sections, then spinal anesthesia, and now general anesthesia.The report seems to reveal an effort to fit the patient to the anesthetic instead of the anesthetic to the patient. We use general anesthetics in the majority of our cases and reserve spinal anesthesia for selected cases, such as marked prematurity and for patients who have had recent meals or who have respiratory infections. Our results, both as to maternal mortality and infant mortality, compare favorably with those of any other institution. It has been my view, after reading numerous articles and speaking to numerous

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