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Amos R. Koontz, M.D.
JAMA. 1955;158(12):1050. doi:10.1001/jama.1955.02960120050016.
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To the Editor:—  In the April, 1954, issue of Surgery, I had an editorial on surgical anesthesia. In the Dec. 25, 1954, issue of The Journal, page 1628, a letter of mine entitled "Surgeon and Anesthetist—Good and Bad Teamwork" was published. In both of these contributions I pointed out that suture lines are occasionally broken by patients struggling under anesthesia. This is not a theoretical consideration, as I have seen it occur before the wound was closed. How often suture lines break after the wound is closed, when the patient struggles under anesthesia, no one knows. My entire purpose was to point out an occurrence that, while probably not frequent, is a lamentable incident for the patient when it does occur, and to indicate that such incidents could be cut to the minimum, or probably entirely eliminated, by a closer cooperation between the anesthetist and the surgeon. Certainly the welfare


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