Eucaine as a local anaesthetic in the surgery of the throat, nose, and ear : preliminary communication / by W. Jobson Horne and Macleod Yearsley.

  • Horne, Walter Jobson.
Date:
1897
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Licence: Public Domain Mark

Credit: Eucaine as a local anaesthetic in the surgery of the throat, nose, and ear : preliminary communication / by W. Jobson Horne and Macleod Yearsley. 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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    lieprinted for the Authors from the British Medical Journal,' January ll>th, 1897. 7- C EUCAINE AS A LOCAL ANiESTHETIC IN THE SURGERY OF THE THROAT, NOSE, AND EAR. [preliminary communication.] BY W. JOBSON HORNE, M.A., and MACLEOD YEARSLEY, M.B.Camb., M.R.C.P.Lond., F.R.C.S.Eng., Physician in Charge Surgeon in Charge of the Department for Diseases of the Throat, Nose, and Ear, Farringdon General Dispensary and Lying-in Charity. Since the discovery of the amesthetic action of cocaine by Niemann and its introduction into practice by Roller that alkaloid has held its own among the more valuable drugs of the Pharmacopaia, despite its disadvantages. But the unto- ward effects which have unexpectedly followed the use of^ cocaine have led those constantly using it to realise that its* * action is uncertain, and that it is therefore as well to keep antidrtal remedies at hand. Quite recently a rival has been introduced in the shape of eucaine, which is said to possess the amesthetic action of cocaine without producing any of the toxic effects. The importance of a drug which could make good its claims to those properties it would be difficult to overrate, and, in order to arrive at its fclinical value, we have lately used eucaine exclusively in throat, nose, and ear surgery, Eucaine was first investigated by Dr. Gaetano Vinci, under the direction of Professor Liebreich. At the same time that Vinci’s results were communicated to the Hufeland Society in Berlin,* Professor Emile Berger,^ in Paris, was engaged in an extensive clinical examination of the drug. Both Vinci’s and Berger’s investigations, however, deal chiefly w’ith eucaine from its ophthalmological aspect, one which is not within the province of this communication to deal with. A third observer in this branch of surgery is Professor Deneffe,^ of the University of Gand, Belgium. Dr. Hal Foster * recently published some short notes on the Use of Eucaine Hydrochloride in the Nose and Throat, giving two cases— one of turbinate hypertrophy reduced by galvano-cautery, one of tonsillotomy. He also mentions other cases. His results were completely successful. I April i6th, 1896. * Revue de Th^rapeutique Me'dico-Chirurgicale, 1896, No. 12. ^ Le Scalpel, 1896, No. n. * Langsdale's Lancet, August, 1896.