Operative surgery, for students and practitioners . Fig. 141.—Tracheotomy Tube. Fig. 142.—Trendelenburg Tampon Can- nula. T, tube to inflate balloon. Anaes-thetic is given through a long tube andfunnel attached to tracheotomy tube. The patient lies upon the back with the shoulders raised andthe head thrown back. If the symptoms of sufiocation are urgent,one may dispense with an anaesthetic or may give simply a few whiffsof chloroform. The operation may be done under cocain antesthesia. By palpation, the ring-like cricoid cartilage, which is the bestlandmark, is readily located. In men the prom


Operative surgery, for students and practitioners . Fig. 141.—Tracheotomy Tube. Fig. 142.—Trendelenburg Tampon Can- nula. T, tube to inflate balloon. Anaes-thetic is given through a long tube andfunnel attached to tracheotomy tube. The patient lies upon the back with the shoulders raised andthe head thrown back. If the symptoms of sufiocation are urgent,one may dispense with an anaesthetic or may give simply a few whiffsof chloroform. The operation may be done under cocain antesthesia. By palpation, the ring-like cricoid cartilage, which is the bestlandmark, is readily located. In men the prominent thyroid carti-lage may be felt and seen as Adams apple, 1)ut in women and chil-dren this is not prominent and is not, therefore, a good guide. An incision is made through the skin and subcutaneous fat fromthe lower border of the thyroid cartilage—just alcove the cricoid—do-wTiward, in the middle line of the neck, for a distance of one andone-half inches. In making this skin incision some small tributariesof the anterior jugular vein


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