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May 24, 1902


JAMA. 1902;XXXVIII(21):1355. doi:10.1001/jama.1902.62480210013001c

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A report of the following successful case is not presented because of anything particularly peculiar in the operation itself, but mainly in an attempt to show what appears to the author the superiority of spinal anesthesia over ether or chloroform in cases of Cesarean section, because of the relaxed condition of the uterine muscles likely to obtain with the patient anesthetized by either of the two latter methods.

The patient, a primipara, 28 years old, of small stature, suffered in early childhood an attack of poliomyelitis anterior acuta, as a result of which the right side of the body failed to keep pace in a matter of growth and development with the left. The right arm is 4½ inches shorter than the left, and the right half of the pelvis is correspondingly small, which fact, together with the markedly kyphotic condition of the lumbo-sacral spine, was largely responsible for the

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