We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Book Forum |

Peridural Analgesia and Anesthesia

Leonard F. Walts, MD
JAMA. 1967;200(5):421. doi:10.1001/jama.1967.03120180109033.
Text Size: A A A
Published online


Dr. Lund writes about a subject with which he is well acquainted. He has based his book upon his personal experiences with the administration of "15,000 consecutive epidural anesthetics" as well as an extensive literature survey.

Early in the book the author deals with some basic considerations. This discussion acquaints the reader with the theories of local anesthetic spread and site of action in the epidural space.

Dr. Lund presents a detailed description of the induction of epidural anesthesia. His personal technique, especially as it differs from some of the other accepted practices, makes interesting reading. For example, he usually supplements his premedication with 250 to 500 mg of thiamylal sodium before performing the block. Dr. Lund tells us that this is done to reduce pain and anxiety as well as to avoid recognition by the patient of the block's similarity to spinal anesthesia. Also, after advancing the needle to


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.