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October 10, 1891

LOCAL ANÆSTHESIA WITH THE PHARYNGEAL COCAINE SYRINGE.Read by Title in the Section of Laryngology and Otology, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891.

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JAMA. 1891;XVII(15):540-541. doi:10.1001/jama.1891.02410930004001a

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Mr. Chairman and Gentlemen:—I had occasion to report last year, at Nashville, a method of effectually anæsthetizing the tissue of the vault of the pharynx before operating upon adenoid vegetations, by the interstitial injection of cocaine with a suitably constructed and guarded needle syringe. I wish to-day to make a brief report of observations with the instrument during the past year, and as it was incomplete when exhibited, and has since been somewhat modified, I take the liberty of producing it again. An objection raised to the use of the instrument, which was otherwise kindly criticized at the time, was the danger of calling forth alarming or even fatal symptoms by subcutaneous injections of cocaine.

Dangerous and disastrous results from the use of cocaine as a local anæsthetic was, from the start, the bugbear that stalked at the heels of this brilliant and most happy innovation, as it was upon

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