The practice of pediatrics . ODwyers intubation tubes. Mouth-gag. by loose membrane. The neck is made as narrow as possible and isgripped by the vocal cords. In order to avoid ulceration of the mucousmembrane by pressure the head of the tube has been given a backwardsweep and is somewhat thick, so that no sharp angle is presented to thebase of the epiglottis. The end of the tube is blunt and well roundedoff to prevent ulceration by the movement of the trachea over this , it is advisable to use the smallest possible tube for the ageof the child to diminish pressure at the cricoi


The practice of pediatrics . ODwyers intubation tubes. Mouth-gag. by loose membrane. The neck is made as narrow as possible and isgripped by the vocal cords. In order to avoid ulceration of the mucousmembrane by pressure the head of the tube has been given a backwardsweep and is somewhat thick, so that no sharp angle is presented to thebase of the epiglottis. The end of the tube is blunt and well roundedoff to prevent ulceration by the movement of the trachea over this , it is advisable to use the smallest possible tube for the ageof the child to diminish pressure at the cricoid constriction. The general character of the tubes and instruments is shown inthe illustrations (Figs. 85 to 89). The tubes for false membrane are hollow cylinders in graded sizesof just sufficient length to reach beyond the cricoid constriction andare for temporary use only to allow the expulsion of the detached mem-brane when this is suspected to be present. They should on no accou nt27 4 IN INFECTIOUS DISEASES Fh;. 87. ODwyers intubation set in case. DIPHTHERIA 419 be left in position for longer than an hour or two, as, unlike the regulartubes, they are not adapted to the anatomy of the larynx. Special tubes with built-up heads are occasionally used with theobject of riding over the granulations caused by the disease and thuspromoting their absorption. Fig. 90


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190