. Operative surgery. tention to the pa-tient for an hour or sothereafter. The RemarJi-s.—In theadult the tube can be in-troduced by aid of a mir-ror, especially when thethroat is accustomed tothe use. It is wise forthe operator to give some little amount of time to practicing in introducingthe tube. The extracting of the tube from the clinched hand will offer ina degree the needed opportunity for this kind of practice. Should the tubehappen to slip below the vocalcords it will no doubt be ar-rested by the cricoid cartilage,and only by division of thelatter can the tube be with-drawn from below
. Operative surgery. tention to the pa-tient for an hour or sothereafter. The RemarJi-s.—In theadult the tube can be in-troduced by aid of a mir-ror, especially when thethroat is accustomed tothe use. It is wise forthe operator to give some little amount of time to practicing in introducingthe tube. The extracting of the tube from the clinched hand will offer ina degree the needed opportunity for this kind of practice. Should the tubehappen to slip below the vocalcords it will no doubt be ar-rested by the cricoid cartilage,and only by division of thelatter can the tube be with-drawn from below. The After - treatmentQuiet, support, and cleanlinessare indicated. Carey and Cas-selherry have recorded the im-portant fact thatwith the headlower than theshoulders foodcan be swallowedquite readily withthe tube in placewithout muchtrouble. Highlynutritious fluidfoods are com-monly employed in these cases. Usually the tube is removed in four orfive days and not reintroduced thereafter without special Fig. 876.—The operation of intubation. The tubeheld in place by finger wliile string is withdrawn. 698 OPERATIVE SURGERY. The Results.—McNaughton and Maddern reported 5,546 cases of intu-bation with per cent mortality without the use of antitoxine. Fivehundred and thirty-three cases with the use of antitoxine gave per centmortality. With the use of antitoxine— Cases. Recoveries. Brown reports 2,368 1,445 73 30 647 Ranke reports 558 McNaughton reports 88 ODwver reports 10 Waxliam reports 543 cases of intubation in private practice with cent recoveries. It is quite apparent that intubation is followed by a higher rate of recov-ery than is tracheotomy, and that the administration of antitoxine increasesthe efficiency of intubation in an astonishing degree. Foreign Bodies in the Air Passages.—Foreign bodies invade the air pas-sages, and in many instances cause alarming symptoms followed by a rapidand fatal outcome. The larynx, trachea, and b
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