The practice of pediatrics . he mouth opens, the tip of thenozzle is gradually passed to the middle line, the tonsils and pharynxbeing in this way cleansed from thick mucus, pus, and pieces of detachedmembrane. The operation may be repeated everv four hours in ordinary casesand every two hours in those in which there is a great deal of nasaldischarge, especially of a purulent variety. While there is a difference of opinion in regard to the propriety ofthis procedure in certain cases, I believe that there are practically no DIPHTHERIA 411 contraindications, and that there is no good evidence th
The practice of pediatrics . he mouth opens, the tip of thenozzle is gradually passed to the middle line, the tonsils and pharynxbeing in this way cleansed from thick mucus, pus, and pieces of detachedmembrane. The operation may be repeated everv four hours in ordinary casesand every two hours in those in which there is a great deal of nasaldischarge, especially of a purulent variety. While there is a difference of opinion in regard to the propriety ofthis procedure in certain cases, I believe that there are practically no DIPHTHERIA 411 contraindications, and that there is no good evidence that disease ofthe middle ear is more apt to follow cases which are irrigated than thosewhich are not. Furthermore, there is no good reason why intubatedcases with nasal involvement should not he so treated, and while theoperation occasionally causes an attack of coughing, which may resultin the expulsion of the tube, the latter may be immediately value of irrigation in such cases far outweighs the inconvenience. Irrigation of the nose. of this occasional occurrence. Finally, there is no evidence that aspira-tion pneumonia is ever caused by the procedure. A less efficacious method of cleansing the nose and throat is that bymeans of an ordinary syringe or bulb syringe. Too much force is aptto be used, it is less agreeable to the patient, and the result is far lesssatisfactory. In cases of cardiac paralysis great care should be takento avoid exciting the patient, but as this condition usually occurs latein the disease the indication for irrigation is not often present. 412 INFECTIOUS, DISEASES Local applications for the relief of spasm and pain and reduction ofswelling are occasionally of service. Steam inhalations by means ofa croup kettle, the child being placed under a canopy, may be continuedfor from one-half to one hour at a time. Hot, thin, flaxseed poulticesplaced on the throat, and immediately removed on cooling,seem to affordrelief in these conditions. The s
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
