A method of anaesthesia for the repair of bronchopleural fistula, based on that described by Dennison and Lester (1961) but with certain modifications, is presented, together with the results of a series of ten patients (11 operations) so managed. By using general anaesthesia as described, from the commencement, avoiding the use of muscle relaxants until the patient is safely positioned on the operating table, and by ensuring that spontaneous respiration is maintained during this period, it has been possible safely to dispense with the necessity for intubation of the conscious patient under topical analgesia. Furthermore, this method (in which the hazard from contamination of healthy lung tissue by spill-over of infected pleural fluid is not increased) has the advantage of being much less unpleasant for the patient.
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