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February 19, 1955


JAMA. 1955;157(8):665. doi:10.1001/jama.1955.02950250039013

In this age of specialties and subspecialties one should perhaps not mention the need for a greater interest in the problems connected with operating on infants and children. Potts in this issue (page 627) states that of 45 children's hospitals in this country only 8 have surgical services headed by men whose practice consists chiefly of pediatric surgery. This makes it all the more important that those who are called on from time to time to operate on children become acquainted with the special problems involved. In an excellent summary of this subject Chandler1 states that infants and children withstand major operations well, provided (1) blood loss is kept to a minimum, (2) a higher oxygen content of the anesthetic mixture is maintained than is usual with adult inhalation anesthesia, (3) body chilling is avoided, and (4) the surgeon has an intimate knowledge of the physiology of the newborn