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October 1938


Arch Otolaryngol. 1938;28(4):620. doi:10.1001/archotol.1938.00650040631010

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REPORT OF A CASE  A well built young man 18 years of age underwent an operation on the tonsils and adenoids on March 14, 1936. The usual preoperative medication of morphine and atropine was employed. Ether anesthesia was induced with difficulty. The surgeon stated that he heard loud, sucking sounds emanating from the pharynx during the operation. When the anesthetization was stopped the patient continued to be cyanotic, and the pulse rate and the respiratory rate increased to 132 and 60, respectively. Oxygen was administered intermittently, and caffeine and epinephrine were given hypodermically.I saw the patient about four hours after the operation. He was semicomatose; there was generalized moderate cyanosis; the temperature was 100.6 F., the pulse rate 106 and the respiratory rate 48; the pupils were dilated but reactive; definite crepitus was palpated along the course of each jugular vein. No essential abnormalities of the lungs were observed.

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