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July 30, 1904


JAMA. 1904;XLIII(5):330. doi:10.1001/jama.1904.92500050003a

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B. J., age 18, slender and delicate; kidneys, heart and lungs apparently sound. A month previously two trifling operations were performed under cocain anesthesia for removal of hypertrophies of the turbinated bones. For the present operation, tonsillectomy, ether was used. The patient showed neither nervousness nor anxiety and appeared to take the anesthetic nicely, falling into a quiet sleep. Anesthesia had proceeded for about five minutes when the respirations apparently ceased and cyanosis rapidly supervened. The mouth was opened and the tongue drawn forward; but this made no difference, the difficulty appearing to be due to paralysis of respiration; pulse could still be felt at the wrist. Inversion, artificial respiration, oxygen and other ordinary methods of restoration were resorted to without avail, the cyanosis deepening rapidly. Forcible dilatation of the anal sphincter was then resorted to and whether on this account or not a feeble attempt at

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