CONGENITAL TALIPES EQUINO-VARUS *

more stable, is supplied in io per cent. solution in ampoules containing 5 c.c. The solution is run into the vein very slowly (1 c.c. per minute); meanwhile the patient is engaged in conversation. As the injection proceeds his speech becomes more and more slurred, until finally he fails to answer questions, and sinks into a deep sleep. The administration is stopped immediately he loses consciousness. In this way correct dosage is ensured. If a small dose of morphine and hyoscine be given beforehand, the intravenous injection is often not remembered at all. Usually very little anaesthetic is needed, although patients vary considerably in this respect; but even after ether, vomiting is practically unknown. Recovery, as a rule, takes place in from two to six hours, followed by the protracted period of drowsiness already mentioned, which may last as long as twenty-four hours.