. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. times by Corn-ing, Kauffman, Kummer, and every surgeon who has had experiencewith it.) The paraneural method which we have described is simplya regional application of Comings principles (1885) (Matas). In Germany it is known as Obersts method, the only differencebetween his method and Obersts consisting in the fact that Oberstapplies the constrictor first


. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. times by Corn-ing, Kauffman, Kummer, and every surgeon who has had experiencewith it.) The paraneural method which we have described is simplya regional application of Comings principles (1885) (Matas). In Germany it is known as Obersts method, the only differencebetween his method and Obersts consisting in the fact that Oberstapplies the constrictor first; it is also referred to by some writers asRummers (1886) and Kroguis (1896) method, but the principlesof the method are really of American origin, and began with theexperiments of Hall and Halsted (1884) and Corning (1885). An effort has been made in some quarters to establish an an- THE UPPER AND LOWER EXTREMITIES 239 tagonism between Schleichs method and the paraneural regionalmethod, as here described, but this, as Briegleb and others haveshown, is not really true. Schleichs infiltration method, as appliedto the anesthesia of a finger or toe, is a regional method, since he com- nervus digitalis dorsolis arteria digitalisdorsatis. artma digitalis/valans communis Fig. 41.—A lateral view of the nerves and vessels of the index-finger. (Sobotta and McMurrich.) pletely edematizes the circumference of the finger at its base and thuscontrols the entire nerve-supply of the digit. The regional methodsimply accomplishes the same results in a more economic manner,


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914