An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . sted by struggling against ineffectual attemptsto introduce it without the use of force. When the mouth has been openedthe surgeon passes the index finger of the left hand into the pharynx and feelsfor the epiglottis, which is hooked forward by the end of the finger. The tubeattached to the introducer is next passed into the mouth and carried back
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . sted by struggling against ineffectual attemptsto introduce it without the use of force. When the mouth has been openedthe surgeon passes the index finger of the left hand into the pharynx and feelsfor the epiglottis, which is hooked forward by the end of the finger. The tubeattached to the introducer is next passed into the mouth and carried back to thepharynx, the operator being careful to see that it hugs the base of the tonguein the middle line, that the handle is depressed well upon the childs chest, andthat the silken thread is free. When the extremity of the tube comes in contactwith the end of the finger holding the epiglottis, the handle should be raisedas it engages in the larynx and descends into this organ ; and as it is pusheddownward into place the finger is placed upon the head of the tube to fix it andprevent its being withdrawn with the obturator : the trigger is next pressed, andthe introducer and obturator are drawn from the mouth by depressing the handle PLATE INTUBATION. (Inserting the Tube.) INTUBATION OF THE LABYNX. 895 upon the chest, and at the same time the tube should be pressed well down intothe larynx with the finger which rests upon its head. A caution should here begiven as to the importance of using little force in pressing the tube home afterit engages in the larynx: no more force should be used than in passing thecatheter or bougie into the urethra; and if it is found that the tube is too largeto be passed into the larynx without the exercise of great force, it should bewithdrawn and a smaller one attached to the instrument and introduced. Assoon as the obturator has been withdrawn the child makes a deep inspiration : atthe first expiratory effort there is generally coughed up fal
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Keywords: ., bookcentury1900, bookdecade1900, booksubject, booksubjectchildren
