Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ed with cut out transversely fromtwo-thirds the circumference ofthe tube, which atis bent upon itself. Ad admirable tracheotomy-tube, which can bemade in a few moments, was extemporized by Howard, of Xew York,: during an emer-gency which happened while on a shooting is made of lead, which is almost always accessiblein some form or other; a Minie bullet having beenused on the occasion referred to. The
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ed with cut out transversely fromtwo-thirds the circumference ofthe tube, which atis bent upon itself. Ad admirable tracheotomy-tube, which can bemade in a few moments, was extemporized by Howard, of Xew York,: during an emer-gency which happened while on a shooting is made of lead, which is almost always accessiblein some form or other; a Minie bullet having beenused on the occasion referred to. The directions ofDr. Howard are as follows: Take a piece of lead, whether in the form ofsheet, pipe, or bullet, and, if necessary, hammer it outas thin as it can be used without breaking. Of this,cut a piece the shape of a parallelogram about twoand a half by one and a quarter inches, or enoughlarger to allow a margin: roll it around a trimmedstick, ramrod, or pencil, thus making a tube, as in , and level both edges so that, by trimming anddressing, the seam may be smooth and firm. Cut theupper end so as to form four slips of equal size, bb;. Fig. 209.—Howards extempora-neous tracheotomy tube. Leaden ca-nula.—bb. Flange and eyelet-holes.—c. Joint where tube is bent on itself. 1 For recent example under the care of Mr. House, see Brit. Med. Oct. 26,1878, p. 648. : The Medical Record. 1871, p. 391. 066 SURGICAL OPERATIONS UPON THE LARYNX AND TRACHEA. and at about the middle of the tube cut out a transverse elliptical section fromabout two-thirds of its circumference (Fig. 202. e). Withdraw the pencil andbend the tube upon itself. Turn down the slips, and in two of them cut eyelet-holes through which a string or tape may be passed around the neck, to retainthe canula in its position in the wound.* A similar device, resorted to by Professor Trousseau in 1828, is mentioned inhia Leaden tubes are useful, too. in cases where inflammationoccurs in the t
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
