. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 11. -Apparatus for washing outthe stomach. ADMINISTRATION OF DRUGS AND METHODS OF THERAPY 67 operator, standing on the right, introduces his left index finger intothe mouth and depresses the tongue (Fig. 12). The catheter, moistenedwith water, is now introduced and passed backward. With gentleurging the catheter passes easily into the esophagus. There is nolikelihood of the catheters passing into the larynx and trachea. Aboutsix inches of the catheter are introduced. The funnel is dep
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 11. -Apparatus for washing outthe stomach. ADMINISTRATION OF DRUGS AND METHODS OF THERAPY 67 operator, standing on the right, introduces his left index finger intothe mouth and depresses the tongue (Fig. 12). The catheter, moistenedwith water, is now introduced and passed backward. With gentleurging the catheter passes easily into the esophagus. There is nolikelihood of the catheters passing into the larynx and trachea. Aboutsix inches of the catheter are introduced. The funnel is depressed andthe stomach contents are first allowed to flow out. The funnel is thenraised about two feet above the patient, and the assistant slowly poursthe saline solution into the funnel, the fluid flowing into the the funnel is completely emptied, it is lowered and the stomachcontents siphoned out. This operation is repeated several times, untilthe water returns quite clear. If during the stomach washing the fluid. Fig. 12.—Lavage of the infants stomach, mode of introducing catheter, position of assistant and patient. should be ejected from the stomach in the act of vomiting, it will easilyflow out of the mouth if the infant is recumbent. There is no dangerof aspiration of the fluid into the trachea. I think the recumbentposition is to be preferred to the sitting posture ad\ocated by someinasmuch as a young infant is unable to sit up of its own accord. The introduction of the tube is not as easy with the infant in thesitting as in the recumbent position. The tube being introduced,the stomach contents sometimes refuse to flow out because mucusand food particles obstruct the lumen of the catheter. In such casesthe catheter is withdrawn, and washed out. The catheter is thenpinched with the fingers in such a manner that some of the water orwashing solution remains in the catheter. It is then reintroduced 68 INFANCY AND CHILDHOOD into the stomach. In this way the c
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