The art of anaesthesia . Fig. 13.—The boxwood mouth wedge. must be done—intratracheal intubation or of the vocal cords is a peculiar and annoyingtype of obstruction. Its causation is obscure and its reliefoften difficult. A hurried induction hampered by obstruc-tion is often its precursor. Occasionally it follows an inci-sion which has been made too early. A change of the anaes-thetic state to shallowness when the patient is deep, or. Fig. 14.—The authors modification of the Connell throat tube. deeper when the anaesthesia is slight, is often as it may seem
The art of anaesthesia . Fig. 13.—The boxwood mouth wedge. must be done—intratracheal intubation or of the vocal cords is a peculiar and annoyingtype of obstruction. Its causation is obscure and its reliefoften difficult. A hurried induction hampered by obstruc-tion is often its precursor. Occasionally it follows an inci-sion which has been made too early. A change of the anaes-thetic state to shallowness when the patient is deep, or. Fig. 14.—The authors modification of the Connell throat tube. deeper when the anaesthesia is slight, is often as it may seem, if in the course of a comparativelydeep anaesthesia with persistent crowing respirations,pelvic, gall-bladder or other deep reflex be stimulated, thecrowing will lessen and often disappear. The attention ofthe nervous system has been distracted, so to speak. Rhyth-mical traction of the tongue may relieve this , saliva and vomited material may be drained by COMPLETE GENERAL ANAESTHESIA 35 the use of the Trendelenhurg position or by the sucker,commonly found in the operating room (see page 323).Or the pharyngeal reflexes may be permitted to returnand expel the foreign material. The preliminary use ofmorphine and atropine, by reducing the secretion andthe irritability of the pharyngeal mucous membranes,often acts as a prophylactic against this type of obstruction. Obstruction due to glandsand goitres must be dealtwith in such
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1919
