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September 1, 1900

Medullary or Subarachnoid Cocain Anesthesia.

JAMA. 1900;XXXV(9):572-574. doi:10.1001/jama.1900.02460350042017

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Chicago, Aug. 26, 1900.

To the Editor:  —At your request I submit the following report on "medullary or subarachnoid cocain anesthesia:"During the meeting of the International Medical Congress at different times, Prof. Tuffier invited members of the congress to witness his operations, particularly laparotomies under subarachnoidean cocain anesthesia; the details of the experiments and advancements in this method of anesthesia are best given in the words of Tuffier himself, which I take the privilege of quoting from a brochure—which he kindly gave me—of an article that appeared in the Semaine Médicale, May 16, 1900. In addition to the statements made in that article, he announced at his demonstration that he had used the anesthetic in 130 cases and did not have a fatality, complication or unpleasantness in any one of them. That the analgesia was complete admitted of no question, as we witnessed four major operations, three laparotomies, including

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