. Minor and operative surgery, including bandaging . ration of intubation, the child is placed uponthe lap of the nurse or assistant, wrapped in a blanket,and the arms secured by the nurse holding the elbowsso as not to interfere with the respiratory patients head is next held by an assistant. Theposition of the head, neck, and body should be as if thechild were hung from the top of the head, and this posi-tion should be maintained during the insertion of the Scale of intubation-tubes. INTUBATION OF THE LARYNX. 585 tube. The mouth-gag is next inserted upon the left side,and the b
. Minor and operative surgery, including bandaging . ration of intubation, the child is placed uponthe lap of the nurse or assistant, wrapped in a blanket,and the arms secured by the nurse holding the elbowsso as not to interfere with the respiratory patients head is next held by an assistant. Theposition of the head, neck, and body should be as if thechild were hung from the top of the head, and this posi-tion should be maintained during the insertion of the Scale of intubation-tubes. INTUBATION OF THE LARYNX. 585 tube. The mouth-gag is next inserted upon the left side,and the blades dilated so as to open the jaws widely, andas the gag is self-retaining, this position is easily main-tained. The jaws being thus held open, the operator,sitting on a chair facing the patient (Fig. 497), next intro-duces the index finger of the left hand, protected by astrip of adhesive plaster or a metal shield, into the mouthand passes it over the tongue until he feels the introducing-instrument, to which the tube is attached,. Intubation ot the larynx. is held in the right hand, and introduced into the mouth,after observing that the silken loop is free ; it is sweptover the tongue and passed down until it touches the epi-glottis; this is hooked up by the index finger of the left 586 INTUBATION OF THE LARYNX. hand and the tube passed into the larynx; the indexfinger of the left hand is then transferred to the edge of thetube, and by pressing upon the trigger of the instrumentwith the thumb of the right hand the obturator is detachedand the instrument is withdrawn, and before removing thefinger it is well to place it upon the head of the tube andto sink it well into the larynx. As soon as the obturatoris removed, there is usually a violent expiratory effort,which is accompanied by a gush of mucus, mucopurulentmatter, or membrane from the tube, and after this escapesthe breathing is usually satisfactorily established. If theoperator has passed the tube into
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