. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . rarely bethe cause of difficulty in performing intubation. Thisoccurs at the cricoid division of the larynx (the narrowestpart) and may necessitate a certain degree of force inorder to pusli the tube through the constriction. Betfiined Tube.—Conditions re(iuiring frequent re-intu-bations aie: persistence of the laryngeal membrane, ode-. Fic:. S(I4!).—Latest Desisrn nf sit nf (i 1i«m ma, ulcerations about the cricoid cartilage, leading oc-casionally to collapse of


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . rarely bethe cause of difficulty in performing intubation. Thisoccurs at the cricoid division of the larynx (the narrowestpart) and may necessitate a certain degree of force inorder to pusli the tube through the constriction. Betfiined Tube.—Conditions re(iuiring frequent re-intu-bations aie: persistence of the laryngeal membrane, ode-. Fic:. S(I4!).—Latest Desisrn nf sit nf (i 1i«m ma, ulcerations about the cricoid cartilage, leading oc-casionally to collapse of the cartilaginous framewoik ofthe larynx, cicatricial contractions, granulations, and ab-ductor paralysis. 198 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Care and Feeding of Intubated Children.—In the ma-jority of cases of intubation the cliildren soon learn totake food in the ordinaiy way. If. liowever, this is notpossible, CasselbeiTvs position may be necessar_y at leastfor a short time. In this method the patients head hangsback over the lap of the nurse at an angle of forty-livedegrees, the feet are elevated on a chair, and food is givenwith a spoon or from a bottle. Gavage is preferred by some physicians during the en-tire time of intubation. It is certainly contraiudicatedwhen the is congested and painful. Rectalfeeding should be regarded as a last resort. Semi-solidsare more easily


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