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January 1957

Potentiated Anesthesia Derived from Artificial HibernationIts Use in Bronchoesophagology

Author Affiliations

Havana, Cuba

AMA Arch Otolaryngol. 1957;65(1):13-19. doi:10.1001/archotol.1957.03830190015004

Until today and in accordance with Jackson's principles, all endoscopic work—direct laryngoscopies, bronchoscopies, and esophagoscopies—has been done with the use of the least possible amount of local anesthesia. According to the Philadelphia School, the ideal would be to use none at all, especially in children. General anesthesia would be, therefore, the exception in peroral endoscopy. In Latin countries, especially in Cuba, this conviction has been greatly modified and is followed at present in various countries for routine endoscopic work. In our country, general anesthesia is increasingly employed not only in bronchoesophagologic cases but also in any surgical operation, owing perhaps to three main factors: 1. Anesthesiology has made remarkable advances in these last decades. New drugs, new techniques, and new equipment have greatly improved this adjuvant branch of medicine, particularly in regard to safety and efficacy. 2. The Latin patient does not react in the same way as

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