. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . - for operative interference. The symptoms calling for operation are piOgressivedyspnoea, labored breathing and cyanosis, retraction ofthe tissues about the eiiigastrium and clavicles, dimin-ished respiratory murmur over the lung bases, physicaldepression, and a failing pulse. The tube alone,. Fig. Correct posiUon of operator, patient, and assistants. First position of the lubi-. the operation of enucleation or removal by pressurethrough the tra


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . - for operative interference. The symptoms calling for operation are piOgressivedyspnoea, labored breathing and cyanosis, retraction ofthe tissues about the eiiigastrium and clavicles, dimin-ished respiratory murmur over the lung bases, physicaldepression, and a failing pulse. The tube alone,. Fig. Correct posiUon of operator, patient, and assistants. First position of the lubi-. the operation of enucleation or removal by pressurethrough the trachea, it is unnecessary to m(ntion hereany of the so-called modilicatious of ODwyers instru- Techmqiie. of the Operntinn.—Intubation may be |)er-formed with the patient in either the upright or the dorsalposition, the former being generally preferred. In either 196 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. lutiibatloa*Intubation. case tJie patient is wrapped from the neck downward iua sheet or light bhmket which includes the shoulders,arms, and hands, care being taken to avoid a bulk}- rollin fiout of the neck, which interferes with the handle ofthe introducer at the beginning of the operation. Thenurse sits upright in a straight-back chair, holding thechild firmly against her left breast and shoulder, bycrossing the arms in front of the childs body outside of


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