The practice of surgery . tretch. A general anestheticor cocain may be employed. The skin is incised for two or three mchesin the median line, the muscles and fascia are divided, the windpipefully exposed by blunt dissection, disregarding the thyroid isthmus, thetrachea is caught and steadied with a sharp hook and opened carefullywith a knife—carefully so as not to wound the posterior wall of thetrachea. The tracheal opening is then distended with forceps or atrivalve dilator, and the tracheotomy canula is introduced. Cohenstracheotomy tubes are those commonly used. The complete tube (m-ner an
The practice of surgery . tretch. A general anestheticor cocain may be employed. The skin is incised for two or three mchesin the median line, the muscles and fascia are divided, the windpipefully exposed by blunt dissection, disregarding the thyroid isthmus, thetrachea is caught and steadied with a sharp hook and opened carefullywith a knife—carefully so as not to wound the posterior wall of thetrachea. The tracheal opening is then distended with forceps or atrivalve dilator, and the tracheotomy canula is introduced. Cohenstracheotomy tubes are those commonly used. The complete tube (m-ner and outer) is inserted, the inner tube withdra^\Ti, and the instrumentsecured in place with tapes passed about the neck. A moist sponge1 Henry Cabot Lodge, George Washington, vol. ii, p. 296. .582 THE FACE AND NECK or gauze pad should be fastened, as an air-filter, over the mouth of thetube. The skin wound should be closed and carefully drc>ssed and, as arule, the tracheotomy tube should be removed permanently as early. Fig. 384.—Intubating the laiynx (Lejars). as possible. The care of one of these patients after tracheotomy is asomewhat delicate and important matter. During the first hours a nurse
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
