. The practice of pediatrics. e Vomiting.—Several years ago, when thewriter was resident physicianat the New York Infant Asy-lum, a series of observationswere made on cases of persist-ent vomiting which could notbe controlled by stomach-washing or the ordinary meansof treatment. It was foundthat patients who could notretain a teaspoonful of wateradministered by a spoon or abottle would retain from 3^ ounce to one ounce of water given through a tube. The samechild who vomited one teaspoonful of milk or other food would retainthis amount and a great deal more when the food was given by thetube.
. The practice of pediatrics. e Vomiting.—Several years ago, when thewriter was resident physicianat the New York Infant Asy-lum, a series of observationswere made on cases of persist-ent vomiting which could notbe controlled by stomach-washing or the ordinary meansof treatment. It was foundthat patients who could notretain a teaspoonful of wateradministered by a spoon or abottle would retain from 3^ ounce to one ounce of water given through a tube. The samechild who vomited one teaspoonful of milk or other food would retainthis amount and a great deal more when the food was given by thetube. This discovery led to more extended observations. Twentycases of persistent vomiting in all were treated in this way, of whicheighteen were relieved. This series of observations was the first maderelating to the use of gavage or forced feeding in persistent vomiting.* When used for the obstinate vomiting cases, it is well to use gavage *Kerley: Gavage in Persistent Vomiting in Infants, Archives of Pediatrics,February, Fig. 120.—Stomach-tube. 760 THE PRACTICE OF PEDIATRICS only once every four or six hours, with from one-third to one-half thequantity of food given in health. The tube which is to be passed into the stomach should never beoiled, but merely dipped into the solution that is to be used. It is thenpassed in rapidly with the funnel empty and the nourishment is imme-diately poured into the funnel. When the food has passed into thestomach, the tube should be compressed and quickly withdrawn, assome of the liquid will be retained in the tube if it is withdrawn slowly.
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
