Anesthesia in Intrathoracic Surgery.
—Dr. Fernando Paulino, head surgeon of the Casa de Saúde São Miguel, published in Revista Brasileira de Cirurgia (24:699 [Nov.] 1952) a report on the anesthesia used in 185 consecutive intrathoracic major operations, excluding thoracoplasties and pleurotomies. This is the largest series ever reported in Rio de Janeiro in this field of surgery and does not represent specially selected operations but the total of operations of this kind performed by a specialized surgeon since the founding of that hospital. The total of 185 operations includes 56 cases of pneumonectomy and lobectomy, 32 of esophagectomy and gastrectomy, 40 of thoracolumbar sympathectomy, 25 of exploratory thoracotomy, 3 of mitral valvulotomy, 12 of operations on the esophagus for such conditions as diverticula, atresia, and anastomosis, and 17 others including surgery for mediastinal tumors, diaphragmatic hernioplasty, and pulmonary decortication.The author discusses the problem of surgical fatality and establishes