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"SYNERGISTIC COLONIC ANALGESIA"

"SYNERGISTIC COLONIC ANALGESIA" To the Editor: —The facts presented by Dr. James T. Gwathmey in his article on "Synergistic Colonic Analgesia" (The Journal, Jan. 22, 1921, p. 222) are interesting, but the conclusions seem full of danger. I am aghast at the nonchalant manner in which a routine preliminary medication of three-eighths grain of morphin is to be employed, combined with magnesium sulphate, whose synergistic action will increase the latter to a potency of six-eighths grain (with a predilection to the respiratory center). In other words, the patient is to be given three-quarters grain of morphin before the general anesthetic, nitrous oxid and oxygen, or colonic ether anesthesia is employed. It is alleged that this technic will give a safer and better relaxation than when ether is used. I must confess my inability to grasp the force of this allegation. Does colonic anesthesia and gas-oxygen anesthesia per se require a routine preliminary medication http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

"SYNERGISTIC COLONIC ANALGESIA"

JAMA , Volume 76 (7) – Feb 12, 1921

"SYNERGISTIC COLONIC ANALGESIA"

Abstract



To the Editor:
—The facts presented by Dr. James T. Gwathmey in his article on "Synergistic Colonic Analgesia" (The Journal, Jan. 22, 1921, p. 222) are interesting, but the conclusions seem full of danger. I am aghast at the nonchalant manner in which a routine preliminary medication of three-eighths grain of morphin is to be employed, combined with magnesium sulphate, whose synergistic action will increase the latter to a potency of six-eighths...
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Publisher
American Medical Association
Copyright
Copyright © 1921 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1921.02630070051037
Publisher site
See Article on Publisher Site

Abstract

To the Editor: —The facts presented by Dr. James T. Gwathmey in his article on "Synergistic Colonic Analgesia" (The Journal, Jan. 22, 1921, p. 222) are interesting, but the conclusions seem full of danger. I am aghast at the nonchalant manner in which a routine preliminary medication of three-eighths grain of morphin is to be employed, combined with magnesium sulphate, whose synergistic action will increase the latter to a potency of six-eighths grain (with a predilection to the respiratory center). In other words, the patient is to be given three-quarters grain of morphin before the general anesthetic, nitrous oxid and oxygen, or colonic ether anesthesia is employed. It is alleged that this technic will give a safer and better relaxation than when ether is used. I must confess my inability to grasp the force of this allegation. Does colonic anesthesia and gas-oxygen anesthesia per se require a routine preliminary medication

Journal

JAMAAmerican Medical Association

Published: Feb 12, 1921

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