On spinal anaesthesia by stovaine : with remarks on 1,000 cases / by Frank Cole Madden ; with notes by Hassan Shaheen.

  • Madden, Frank Cole, 1873-1929.
Date:
1912
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Licence: In copyright

Credit: On spinal anaesthesia by stovaine : with remarks on 1,000 cases / by Frank Cole Madden ; with notes by Hassan Shaheen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Reprinted from the British Medical Journal, August 17th, 1912. FRANK COLE MADDEN, M.D.Melb., F.R.C.S.Eng., PROFESSOR OF SURGERY, EGYPTIAN GOVERNMENT SCHOOL OF MEDICINE J SENIOR SURGEON, KASR-EL-AINY HOSPITAL, CAIRO. With Notes by Dr. HASSAN SHAHEEN, ANAESTHETIST TO THE HOSPITAL. For rather more than four years it has been our custom at Kasr-el-Ainy Hospital to employ spinal anaesthesia whenever possible; and we have thus arrived at certain definite conclusions with regard to the efficacy of this method of anaesthesia, and, what is perhaps more important, its limitations. Such conclusions drawn from a large number of cases may be interpreted in different ways by different observers, and I am anxious, therefore, to supplement the excellent paper of my colleague, Mr. Owen Richards, published in the British Medical Journal of December 23rd, 1911, by some remarks based upon an experience of 1,000 operations performed in my section under stovaine anaesthesia ; a series to be followed in the near future, I believe, by yet another 1,000 special opera- tions from the section of our gynaecological colleague, Dr. Dobbin. In all that concerns the general application and the technique of the method and its evident advantages and disadvantages, Mr. Richards’s paper leaves but little to be said; and I will therefore confine myself to a personal record of my experience in the hope that some new points of interest may be elicited. The Preparation of Stovaine Employed. My first cases were anaesthetized by the well-known stovaine and adrenaline solution of Billon (epirenine borate 0.0026, stovaine 0.08, sodium chloride 0.0022, water to 2.00). Of this nearly the whole ampoule is injected in operations on the lower extremities and lower abdomen; but the dose [443/12]