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The object of the new method is to avoid toxic effects, allay fears of patient, saving of time and cocain to both patient and surgeon, and incidentally to bring before the profession the fact that, in the prone position, patients recover from toxic effects of cocain, and that if patient is cocainized in the prone position, and operated upon in the same position, there will be no toxic effects of the drug so long as that position is maintained. With this brief statement of facts from the original article I will reply to the Doctor's criticisms in the same order as he presents them.
The preliminary use of the one-tenth per cent. cocain spray solution is no essential factor in the ultimate anesthesia of the nasal mucosa; its purpose is merely to allay the hypersensitiveness of the mucous membrane preceding the application of the 25 per cent. cocain solution on
ANDERSON PL. IMPROVED METHOD OF COCAIN ANESTHESIA. A REPLY TO A KINDLY CRITICISM OF THE AUTHOR'S METHOD OF ANESTHESIA, BY J. F. OAKS, PH.C., M.D., PUBLISHED IN THE JOURNAL OF JULY 17, 1897. JAMA. 1897;XXIX(9):429–430. doi:10.1001/jama.1897.02440350027001f
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