BARNETT A. GREENE, M.D.; S. BERKOWITZ, M.D.
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Three years ago we started asking each patient to cough during the first few minutes of spinal anesthesia to observe the ascent of muscular paralysis of the abdominal wall.1 We were surprised to hear a clearly "wet" cough in many patients who had a normal respiratory tract according to the history and physical and roentgenologic examinations recorded in the hospital chart. When we extended the practice and requested a voluntary cough of every patient before the induction of any method of anesthesia, an apparent abnormality of the sound of the cough was quite commonly heard. It was not known, however,
GREENE BA, BERKOWITZ S. THE PREANESTHETIC INDUCED COUGH AS A METHOD OF DIAGNOSIS OF PREOPERATIVE BRONCHITIS1. Ann Intern Med. ;37:723–732. doi: 10.7326/0003-4819-37-4-723
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Published: Ann Intern Med. 1952;37(4):723-732.
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