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Article
August 28, 1909

CHLOROFORM RATHER THAN ETHEK ANESTHESIA IN TUBERCULOSIS

JAMA. 1909;LIII(9):683. doi:10.1001/jama.1909.92550090002002d
Abstract

Ether has been the anesthetic for so many years along the northeastern coast of the United States that it is almost heresy to even discuss it; yet experience seems to show that it is either very irritating to the lungs or stimulating to a tuberculous process in the lungs and hence should not be used when there is question of pulmonary tuberculosis. Surgeons generally admit that ether is irritating to the lungs and yet they not only continue to administer it in cases of pulmonary tuberculosis, but also very rarely discuss the matter.

Wood's "Text-Book on Therapeutics" (thirteenth ed., 1906) recommends with Hewitt that in extreme emphysema, in chronic bronchitis attended by expectoration and dyspnea and in advanced pulmonary phthisis, chloroform or some other mixture containing chloroform should be employed. He adds that acute pulmonary disease especially contraindicates ether. During the past six years I

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