. A manual of modern gastric methods : chemical, physical, and therapeutical . the junctions between it and thestomach-tube are firm. There is just a chance thatif the stomach-tube became detached it might slip,down bodily into the stomach. At the other endof the upper rubber tube a funnel of moderate size isinserted. If the operation is to take place at thepractitioners house, a glass funnel is preferable, butwhen performed at the patients house, a vulcaniteor enamelled one is better. The first thing that should be done is to givethe patient a pledget of cotton wool soaked in a5 per cent, coc
. A manual of modern gastric methods : chemical, physical, and therapeutical . the junctions between it and thestomach-tube are firm. There is just a chance thatif the stomach-tube became detached it might slip,down bodily into the stomach. At the other endof the upper rubber tube a funnel of moderate size isinserted. If the operation is to take place at thepractitioners house, a glass funnel is preferable, butwhen performed at the patients house, a vulcaniteor enamelled one is better. The first thing that should be done is to givethe patient a pledget of cotton wool soaked in a5 per cent, cocaine solution, directing him to suckthis and to keep the saliva and the cocaine as longas possible about the back of the mouth. Cocainetakes several minutes to act in many individuals,and it is better to wait for at least five minutesbefore attempting to introduce the tube. Whilethe cocaine is acting the other necessary arrange-ments can be prepared. The patient is placed on achair which may be put on the centre of a largesquare of waterproof sheeting. A piece of macintosh. PASSAGE OF STOMACH-TUBE 17 is fastened over his clothes ; while he is directed to sitwith his knees wide apart, so that anything spilton the macintosh runs into a pail, which shouldbe placed on the floor between them. The tubeis often directed to be moistened with glycerineor with oil, but patients often dislike the taste of theoil, while the glycerine may irritate the prefer simply to dip the tube in warm , asking him to throw his head slightly back,the point of the tube is introduced over thetongue into the pharynx. It is as well, especiallyon the first occasion, to allow it to remain therefor a short time, while the patient is directed tobreathe through his nose, and to swallow any salivathat may be present. The point of the tube isthen gently pressed downwards and the patientrequested to swallow. The muscles of the pharynxcatch the tube, and no difficulty will then be experi-enced in
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