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"INTOCOSTRIN"— PENTOTHAL SODIUM ANESTHESIA FOR BRONCHOSCOPY AND LARYNGOSCOPY
PAUL H. LORHAN, M.D.;
SAM ROBERTS, M.D.
Arch Otolaryngol. 1947;46(6):789-791.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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AFTER using curare with cocainization for endoscopy in 20 cases, Silverberg and Ansbro1 concluded, "We do not feel that curare may be used for endoscopy with safety," and in discussing this paper Dr. M. C. Meyerson stated, "I would summarize my remarks by saying that if bronchoscopy had to be done with curare, I would prefer not to perform bronchoscopy."
However, after using a combination of "intocostrin" (a curare preparation) and pentothal sodium for laryngoscopy and bronchoscopy in 27 cases, we feel that this combination has much to offer. These procedures are not pleasant, to begin with, even with perfect premedication and the most skilful cocainization. Furthermore, if the patient is uncooperative, the procedure becomes a trial to every one in the operating room. In many patients, despite the cocainization, the laryngeal reflex remains quite active, and difficulty is encountered in exposing the larynx and vocal cords and allows the
. . . [Full Text PDF of this Article]
Author Affiliations
KANSAS CITY, KAN.
From the Department of Anesthesiology, University of Kansas Hospitals.
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