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General anesthesia is of great value in diagnosing many intrapelvic and intra-abdominal conditions, especially in girls, nervous women and in those with tense or thick abdominal walls. Ether and chloroform are the drugs most frequently employed for this purpose. During recent years I have to a great extent discarded these, using nitrous oxid gas in preference, except in eases in which it is contraindicated. The great advantages of this anesthetic are its rapidity of action, safety and absence of after-sickness. The gas is administered through a Packard inhaler, air being inhaled with it.
In carrying out operative procedures I use nitrous oxid and ether, except where there is some contraindication, in the majority of cases. I have found the Packard inhaler very suitable for the administration. A mixture of nitrous oxid gas and air is first given, and as unconsciousness is developed, ether vapor is gradually forced into the inhaler
WEBSTER JC. MORE LOCAL AND LESS GENERAL ANESTHESIA IN GYNECOLOGIC OPERATIONS. JAMA. 1904;XLII(17):1061–1062. doi:10.1001/jama.1904.92490620003001a
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