The surgical diseases of children . with, possibly,fatal complications. The tube need not completely fill the trachea. Auseful size and shapeis that shown in It is large enoughwhen it admits the airwithout noise. Forsmall children, thelumen of the outertube, at the level ofthe plate, may be ofabout the size of anordinary steel-penholder, and, for largerchildren, of the size of a cedar pencil. Every tubetapers gradually from the plate. If the neck beswollen from diphtheritic inflammation, it will benecessary to have a long tube. Unless the innertube be longer than the outer, the end of t
The surgical diseases of children . with, possibly,fatal complications. The tube need not completely fill the trachea. Auseful size and shapeis that shown in It is large enoughwhen it admits the airwithout noise. Forsmall children, thelumen of the outertube, at the level ofthe plate, may be ofabout the size of anordinary steel-penholder, and, for largerchildren, of the size of a cedar pencil. Every tubetapers gradually from the plate. If the neck beswollen from diphtheritic inflammation, it will benecessary to have a long tube. Unless the innertube be longer than the outer, the end of the lattermay become blocked. If required, a suture may beapplied at the ends of the skin wound. One ad-vantage of Bakers rubber tubes is, that, long to beginwith, thev can be used in all kinds of necks. For athin child, the end of the soft tube can be slicedoff with a penknife. Tying in.—When the breathing has settled down,the tapes are adjusted. There should be a tape for eachside, and they should be long enough to be tied in a. Fig. 3. - Method of Securing Trache-otomy Tube. Chap, in.] Clearing the Wound. 39 double bow at the hinder part of the neck. The tapeshould be narrow enough to run easily through theslit in the tube plate, and being pointed, it mayeasily be passed from the surface of the plate, whichrests upon the skin of the neck. A slit about half aninch long should have been cut in the middle line ofthe tape, near the end to be threaded, and the runningend afterwards drawn through it, as shown in Fig. until the tapes are securely fastened, a fingershould be kept on the plate of the tube to preventits being forced out of place by a cough. Clearing the wound of mucus and blood maybe effected with small sponge;. If the trachea itselfbe blocked, the mucus may be forced up to the sur-face wound by sudden and firm compressions of thechest walls, and it can thus be caught and wipedaway. Or a large ruffled feather may be pushed downthe trachea, and, being twisted ro
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
