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October 1956

Anesthesia For Surgery of the Nose, Pharynx, Larynx, and Trachea

AMA Arch Otolaryngol. 1956;64(4):275-288. doi:10.1001/archotol.1956.03830160023005

Most otolaryngologists perform their own local anesthesia and engage an anesthetist (doctor or nurse) to administer the general anesthesia. This paper does not attempt to markedly alter the anesthesia methods preferred by the otolaryngologist or by his anesthetist.

The sole purpose of this paper is to make whatever anesthetic is administered safer for the patient. Therefore, it will (1) show how the all too frequent incidence of severe or fatal reactions to the topical application of local anesthetic drugs may be reduced; (2) discuss the advantages and the disadvantages of administering chlorpromazine (Thorazine, Largactil) as sedation before regional block anesthesia; (3) accent the importance of endotracheal anesthesia during the operation and in the immediate postoperative period; (4) detail how laryngospasm during thiopental (Pentothal) anesthesia may be rapidly corrected; (5) emphasize our method of using succinylcholine (Anectine) prior to intubation, which has reduced the incidence of laryngeal granuloma following intubation from