. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. orts to dispensewith the cannula shouldbe begun very early, andwhenever evidences of pressure-effects are detected, itsremoval, if but for a short time at any one trial, shouldbe frequently practised. In cases of the high operationthe cannula may possibly sometimes be dispensed withaltogether. A hundred years ago, Sabatier1S suggestedthat there might be a doubt whether the cannula, ofwhich nearly every practitioner spoke, was , in the same chap
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. orts to dispensewith the cannula shouldbe begun very early, andwhenever evidences of pressure-effects are detected, itsremoval, if but for a short time at any one trial, shouldbe frequently practised. In cases of the high operationthe cannula may possibly sometimes be dispensed withaltogether. A hundred years ago, Sabatier1S suggestedthat there might be a doubt whether the cannula, ofwhich nearly every practitioner spoke, was , in the same chapter, he said : Perhaps it wouldbe much better to do without the cannula, and nothingappears more easy if laryngotomy is practised. . .The wound, superficial, and of the slight extent that suchan operation would involve, could remain without beingdressed, without the least inconvenience resulting there-from. Martin, in 1878, reported that he had carriedto a successful termination several cases of tracheotomywithout tubes, and earnestly advocated it as generallyfeasible. This suggestion I put into practice in the case of a boy. Fia. 3978.—Sloughing of a Portion ofthe Larynx, and Ulceration of theTrachea through Pressure of the Can-nula. six years of age, the son of a physician, upon whom Ioperated in 1882. The trachea was opened below the isth-mus, a semilunar bit was excised from either border ofthe tracheal incision, and two stitches were put in on eitherside of the wound, uniting the pretracheal connectivetissue and the edge of the sterno-thyroid muscle to thelip of the skin incision. The free ends of the threadsused for these stitches were then tied together, forming aloop, through which a bit of tape was passed which wascarried behind the neck and around through the likeloop on the other side. This was drawn tight enough togently retract the edges of the wound and keep the chan-nel to the tracheal opening patent. The child died at theend of nineteen hours from the general
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
