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January 18, 1902

TRAUMATIC ARTERIO-VENOUS ANEURYSMS OF THE SUBCLAVIAN VESSELS, WITH AN ANALYTICAL STUDY OF FIFTEEN REPORTED CASES, INCLUDING ONE OPERATED UPON.

JAMA. 1902;XXXVIII(3):173-176. doi:10.1001/jama.1902.62480030031001j

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Abstract

OPERATION.  On Sept. 13, 1900—the ninth day after injury—after all preparations had been completed, and with the valuable assistance of Drs. H. B. Gessner, S. M. D. Clark, John Smyth, U. Maes, and Dr. Power, who acted as recorder, the operation was undertaken. The operation was begun at 9:20 a. m., and it was 2:30 p. m.—nearly five hours—before the patient was taken back to his bed, though the actual operative work did not consume three hours. Much of the time was consumed in giving the patient periods of rest, especially during the local anesthesia stage of the operation. During these rest periods, as is often done in tedious operations under local anesthesia, the patient was given freely of ice water, panopepton, toddy, and even beef tea, all of which he enjoyed immensely, and helped him greatly to control himself. Even after chloroform had been administered he was never fully

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