Diptheria, its nature and treatment . y hour with a solution of the bichloride ofmercury (one in two thousand). In the after-treatment it is very important that the air ofthe room be kept at a proper and uniform degree of warmthand moisture. The diffusion through it of unirritating anti- >Op. cit.,p. 522. 2Manuel de Tracheotoniie, by Dr. P. Renault; Gr. Steinheil, 6diteur. TREATMENT. 258 septic vapors, such as have already been referred to (page 197),is a valuable addition. The tube must be vigilantly and intelligently it becomes obstructed by the discharges or frag-ments o
Diptheria, its nature and treatment . y hour with a solution of the bichloride ofmercury (one in two thousand). In the after-treatment it is very important that the air ofthe room be kept at a proper and uniform degree of warmthand moisture. The diffusion through it of unirritating anti- >Op. cit.,p. 522. 2Manuel de Tracheotoniie, by Dr. P. Renault; Gr. Steinheil, 6diteur. TREATMENT. 258 septic vapors, such as have already been referred to (page 197),is a valuable addition. The tube must be vigilantly and intelligently it becomes obstructed by the discharges or frag-ments of false membrane, the inner tube must be withdrawnand cleansed. The use of mild antiseptic atomized solutions administeredwith the inspired air through the tube may be spray of carbolic acid and lime-water (page 215) is es-pecially appropriate. Mild solutions of borax or boracic acidmay be similarly used, or insufflations of iodoform, as referredto on page 186. If there is false membrane below the tube, the frequent in-. Fig. 24.—Trousseaus Tracheal Forceps. troduction of solutions of trypsin or papayotin in spray, or bymeans of a slender quill, may be resorted to. The dislodgment and removal of obstructing membranebelow the tube has in some cases been effected by means offorceps or the croup-brush, or an instrument which is made bysurrounding the end of a soft flexible urethral catheter with aring five or six millimetres in After the expiration of twent3T-four hours from the opera-tion, and at such subsequent intervals as are requisite, thecannula should be removed to facilitate the ejection of ac-cumulated matter from the trachea and the inspection anddressing of the wound. When air begins to pass through the larynx, the cannulamay be removed for a short time, which may be repeated andthe time extended as the patient becomes more able to dis- 1 Roser, Loc. cit. 254 diphtheria; its nature and treatment. pense with it, until it is finally removed alto
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