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January 14, 1911

Anesthesia in Traumatic Surgery

JAMA. 1911;LVI(2):138-139. doi:10.1001/jama.1911.02560020054028

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To the Editor:  —The discussion under the above heading (The Journal, December 24, p. 2226), is a matter of very great importance to the surgeon, and has a bearing on the little-understood condition designated as shock. This condition, I believe, is sometimes misnamed, and does not receive the attention it should at the hands of the investigator.In my earlier years I used chloroform almost exclusively, and my experience agrees with that of Dr. Lathrop, in that many patients showed improvement, as to shock, shortly after the anesthetic had been started. This occurred oftener with chloroform than with ether. I nearly always operated at once, without waiting for shock to pass off. This was done on the theory that the general anesthetic should relieve the shock, by narcotizing the receptive apparatus. Crile's nerve blocking has the same end in view, differing only by narcotizing the nerve, to prevent transmission of

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