. Diptheria, its nature and treatment . carry the tube over the dorsum of the tongue. The gag (fig. 4) is then inserted well back behind or be-tween the teeth in the left angle of the mouth and openedwidely, care being taken not to do it too suddenly or to usetoo much force. In children who have not at least one bi-cuspid on the left side, the gag should not be used, as it slipsforward on the gums, and, besides being in the way, is liable toinjure the incisor teeth. There is little difficulty in these casesin keeping the mouth sufficiently open with the finger, if car-ried far enough to the pa
. Diptheria, its nature and treatment . carry the tube over the dorsum of the tongue. The gag (fig. 4) is then inserted well back behind or be-tween the teeth in the left angle of the mouth and openedwidely, care being taken not to do it too suddenly or to usetoo much force. In children who have not at least one bi-cuspid on the left side, the gag should not be used, as it slipsforward on the gums, and, besides being in the way, is liable toinjure the incisor teeth. There is little difficulty in these casesin keeping the mouth sufficiently open with the finger, if car-ried far enough to the patients right to be out of range of thefront teeth. Allowing the child to compress the finger be-tween the gums for a few seconds until the jaws relax, beforecarrying it into the fauces, avoids the necessity for using force. FORMS OF STENOSIS OF THE LARYNX. 273 The Denhardt gag-, which is the one shown in the cut, holdsbetter than the one originally devised by the author, thehandle of which projects downward and is liable to be knocked. Fig. 9, shows the positions of assistant, nurse and patient with gag in position. out of place by coming in contact with the shoulder in the movements of the childs head. An assistant stands behind the patient and holds the head firmly by placing one hand on either side, and at the same time slightly elevates the chin. The person who holds the18 274 INTUBATION IN CROUP AND OTHER head, if without any experience, should be requested not totouch the gag, as this, if properly placed, retains its hold bythe pressure of the teeth. The operator stands in front of the patient holding theintroducer lightly between the thumb and fingers of the righthand, the thumb resting on the upper surface of the handlejust behind the knob that serves to detach the tube and theindex finger in front of the trigger support underneath. Held in this manner it is impossible to use force enough tomake a false passage, while if firmly grasped in the hand thebeginner may, uncon
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1889
