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December 31, 1927


JAMA. 1927;89(27):2274-2275. doi:10.1001/jama.1927.02690270040019

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Subcutaneous Anesthesia in Visceral Pain  At a recent meeting of the Society of Leysin Physicians, Prof. M. Roch of Geneva presented a paper on "Subcutaneous Anesthesia in the Treatment of Visceral Pain." Dr. Lemene of Liége published a few months ago an article in which he recorded his cases of visceralgia treated by a new method, this being a subcutaneous injection of procaine hydrochloride (10 cc. of a 1 per cent solution), with the paradoxical result that it calmed pain arising from a deep-seated inflammatory process eight times out of ten. Roch then verified the method. To his surprise, he obtained this result in biliary and renal lithiasis, appendicitis and pleuritic pain involving all viscera and serous membranes innervated by the sympathetic. Subcutaneous anesthesia was ineffective in the pain of locomotor ataxia, neuralgia resulting from a tumor of the cerebellum and in a case of acute rheumatism of the knee.