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ing, was offered a gastrotomy operation, which he accepted. On account of the profound cachexia and the unfavorable pulmonary condition it was thought advisable to use spinal anesthesia. For the last year we have been using apothesin, following the technic described by Orth.1 All instruments used were washed and boiled in distilled water. Puncture was made in the second lumbar space with an ordinary Quincke needle. Seven cubic centimeters of spinal fluid were withdrawn, the patient sitting updoi:10.1001/jama.1920.26220350001011 fatcat:badtqhv2zjh65o5ig5zza63cve