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September 2, 1893

COCAINE; ITS USES IN GYNECOLOGY.Read in the Section of Obstetrics and Diseases of Women, at the Forty-fourth Annual Meeting of the American Medical Association.

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JAMA. 1893;XXI(10):344-345. doi:10.1001/jama.1893.02420620020001l

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Having now had five years' experience in the use of cocaine in gynecological operations, I feel better prepared to eulogize its merits now than I could do two years ago, when I first brought this subject to the notice of the profession at the Washington meeting. I stated at this time that the only annoying symptom that frequently arose was the shortness of breath, and the anxiety connected with it—this I have been able to obviate by the use of strychnia or tincture of nux vom.; one-thirtieth grain of the former, or fifteen minims of the latter, administered with one-half ounce of whisky thirty minutes before operation.

I do the following operations with no other anæsthetic than cocaine, viz.: dilating, curetting, trachelorraphy, anterior and posterior, colporraphy, and perineorrphay. Frequently making two of these operations at One sitting. In dilating and curetting primiparæ, I resort to cocaine in preference to chloroform

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