At the last meeting of the Arkansas State Medical Society I read a paper on my experience with spinal anesthesia and reported 23 cases in full. In that paper I gave the technique and method of preparation in detail, and will not now consume your time by their repetition.
Since last May I have had a varied experience with spinal anesthesia, having used the method on 80 different occasions. These comprise six obstetrical cases, of which three were instrumental deliveries—four multiparæ and two primiparæ. Two of these suffered from lacerated perineum—one a primipara, the other a multipara. In these six cases twenty minims of a 2 per cent. solution of cocain hydrochlorate was injected. These cases did not differ from any of the others on which I had used this method, the anesthesia appearing in the usual length of time and lasting one hour and ten minutes in the shortest
ILLING WP. THE USE OF TROPA-COCAIN IN SPINAL ANESTHESIA. JAMA. 1902;XXXVIII(12):758–759. doi:10.1001/jama.1902.62480120016001d
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