The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . of India-rubber, such as is used in the manufacture of the India-rubber has sufficient rigidity to prevent its collapsing, but not sufficient togive rise to irritation or to cause ulceration. It is to be introducedafter the first twenty-four hours, a silver tube being used till then. Thetube is single, but the ease with which it can be removed and re-intro-duced is so great, that there is no difficulty in keeping it clean ; in factthe irritation produced in so doing is said to be less
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . of India-rubber, such as is used in the manufacture of the India-rubber has sufficient rigidity to prevent its collapsing, but not sufficient togive rise to irritation or to cause ulceration. It is to be introducedafter the first twenty-four hours, a silver tube being used till then. Thetube is single, but the ease with which it can be removed and re-intro-duced is so great, that there is no difficulty in keeping it clean ; in factthe irritation produced in so doing is said to be less than that causedby the removal of the inner tube of any ordinary double Baker has found, from experience in a considerable number of cases,that it is worn with much greater comfort to the patient than a rigidtube. Trendelenburgs Operation.—An ingenious and useful applica-tion and modification of tracheotomy has been devised by Trendelen-burg and adopted by Langenbeck, in cases of operation about the jaws,palate, and pharynx, in which danger might arise from the inspiration. Fig. —Trendelenburgs Trachea-Tampon. 1. The Trachea-tube and Collar slightly inflated. 2. The Inhaling Funnel. 3. The Inflating Bottle attached to the Collar on Trachea-tube. of blood into the air-passage. The entrance of blood into the air-tubeduring these operations is dangerous, both directly, by the risk of suffo- TAPPING THE CHEST. 551 cation ; and also indirectly, by the blood finding its way into the air-cells, there coagulating, and thus disposing to bronchitis or pneumonia,a danger that is great!} increased by the inlialation of the breath loadedwith septic influences Ironi the suppurating and sloughy surfaces of thewound. With the view of obviating these dangers, Trendelenl)urg pro-poses the following operation. The patient having been placed undertlie influence of chloroform, traclieotomy is performed in the usual wayabove the thyroid body. A trachea-tube fitted wi
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