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August 20, 1887

A NEW METHOD OF PRODUCING LOCAL ANÆSTHESIA OF THE SKIN.Read in the Section on Medicine, Materia Medica and Therapeutics, at the Thirty-Eighth Annual Meeting of the American Medical Association, June 7, 1887.

JAMA. 1887;IX(8):235-237. doi:10.1001/jama.1887.02400070011001b

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Various means have been adopted for prodncing local anæsthesia of the skin, but heretofore none has been to any extent a success. Even cocaine, useful in most other tissues as a topical application, has absolutely no practical use as a local anæsthetic for the skin. Though local anæthesia of the deeper parts may also be produced by the method which I am about to describe, I am only prepared to speak of its merits from a dermatological standpoint at present, but am nevertheless satified that the tissues can in this way be anæsthetized to a sufficient depth to render the method applicable in many cases to general surgery.

As cocaine is the anæsthetizing agent, the method therefore relates only to the manner in which the drug is applied and its absoption induced. Electricity is the means employed for this purpose. Knowing that solutions of cocaine were not readily absorbed by

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