Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ndle with the thumb,while counterpressure is made with the index finger under-neath. In removing the obturator the tube must be held down DIPHTHERIA. 307 by placing the finger either on the side or posterior portion of theshoulder of the tube, lest the tube will be pulled along. After the tube in position the gag is removed, but the string isallowed to remain for about ten minutes, or until it is ascertainedthat the dyspnea is relieved and that n
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ndle with the thumb,while counterpressure is made with the index finger under-neath. In removing the obturator the tube must be held down DIPHTHERIA. 307 by placing the finger either on the side or posterior portion of theshoulder of the tube, lest the tube will be pulled along. After the tube in position the gag is removed, but the string isallowed to remain for about ten minutes, or until it is ascertainedthat the dyspnea is relieved and that no loose membrane iscrowded down in the lower portion of the trachea. In removing Removal ofthe thread the finger is reinserted to hold the tube in place. If any difficulty is experienced in locating the epiglottis, it isbetter to seek the cavity of the larynx, a cul-de-sac into whichthe tip of the finger readily enters, and which cannot be mistakenfor anything else. Once in this cavity, the epiglottis must be in •1 -11 • 1 , Localization front of the ringer, and the latter is then raised and carried to the of Fig. 82—Extubator. patients right in order to leave room for the tube to pass beside it. In the beginning of the operation the handle of the introduceris held close to the patients chest, and then rapidly raised as thelower end of the tube passes behind the epiglottis; otherwise itslips over the epiglottis into the esophagus. After-treatment.—The patient should be kept in a recum-bent or upright position, but not allowed to lie upon the face orupon the nurses shoulder, face downward. After about twohours feeding (in very small quantities) may be resumed,—nursing infants at the breast or bottle, and older children withsemisolid substances, such as custards, matzoon, wine jelly,scrambled eggs, ice-cream, etc. It is of advantage to feed whilethe patients head is lower than the body. The presence of thetube in the larynx docs not contraindicate the use o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
