The practice of surgery . ther circumstances. A special set of instruments(ODwyer) is required, as pictured in the illustration: (1) Tubes with ob-turators adapted to the patients age; (2) a gauge to aid in the selectionof the proper tube; (3) mouth-gag; (4) tube introducer; (5) tube ex- 580 THE FACE AND NECK tractor. The operation is simple enough, and the surgeon performs itsomewhat as follows: with the patient held upright and the jaws forcedwidely open, the surgeon attaches the proper tul)e to the introducer, apiece of thread being fastened to the tube at the same time and tiedto the surge
The practice of surgery . ther circumstances. A special set of instruments(ODwyer) is required, as pictured in the illustration: (1) Tubes with ob-turators adapted to the patients age; (2) a gauge to aid in the selectionof the proper tube; (3) mouth-gag; (4) tube introducer; (5) tube ex- 580 THE FACE AND NECK tractor. The operation is simple enough, and the surgeon performs itsomewhat as follows: with the patient held upright and the jaws forcedwidely open, the surgeon attaches the proper tul)e to the introducer, apiece of thread being fastened to the tube at the same time and tiedto the surgeons finger, so that he may jerk out the tube quickly if neces-sary. He then holds his instrument in his right hand, seeks the tip ofthe epiglottis with the left index-finger, raises the epiglottis, and passesthe tube quickly into the larynx, the left index-finger preventing it, asit passes, from falling into the esophagus. If the tube is properly ])laced,the patients breathing is relieved at once. \Ahen the time comes for. Fig. 382.—ODwyers intubation instruments: A, Tube with ol)turator; B,tube; C, obturator; D, metal gauge; E, mouth-gag; F, introducer; G, extractor; H,silk cord (Fowler). removing the tube, that operation is readily performed with the ex-tractor and by a maneuver quite similar to the method of is one of the ancient operations of surgery. In formerdays it was resorted to for the removal of foreign bodies from the air-passages, and for centuries it was employed for no other enough, the older surgeons and physicians do not seem tohave appreciated that opening the larynx or trachea is the propermeasure for the relief of suffocation due to laryngeal the most eminent life sacrificed unnecessarily through theneglect of tracheotomy was that of George Washington. According toF. H. Hooper, the immediate cause of Washingtons death was edema DISEASES OF THE LARYNX 581 of the larynx, and there is no doubt th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
