The diseases of infants and children . iquid medicines. Liq-uids, as a rule, arc not swallowed well, a portion of them passing into thetube and producing violent coughing. Cases are, however, occasionallymet with in which the swallowing of liquids does not seem to l)e speciallyinterfered with by the presence of the intul)ation tube. Nursing infantsmay sometimes continue at the breast after the operation. I usually ordera diet of semisolids, such as corn-starch, soft boiled eggs, mush, and taking of a sufficient cjuantity of water often causes trouble, and insuch cases the child may
The diseases of infants and children . iquid medicines. Liq-uids, as a rule, arc not swallowed well, a portion of them passing into thetube and producing violent coughing. Cases are, however, occasionallymet with in which the swallowing of liquids does not seem to l)e speciallyinterfered with by the presence of the intul)ation tube. Nursing infantsmay sometimes continue at the breast after the operation. I usually ordera diet of semisolids, such as corn-starch, soft boiled eggs, mush, and taking of a sufficient cjuantity of water often causes trouble, and insuch cases the child may be allowetl to swallow small pieces of ice, or 470 THE DISEASES OF CHILDREN water may be regularh- administered by the rectum. In cases where thereis difficulty in swallowing even this form of diet, it may be necessary toresort to introduction of liquids into the stomach by means of a feeding-tube passed through the nostril into the esophagus. In young patientsin whom a liquid or milk diet is essential, if the head is dropped a little. Fig. 144.— Method of Infant After Intimation, with the Head Lower THAN THE BoDY. (Wharton, Starrs Amer. Text-book of Diseases of Children, 1894, 316.) lower than the body during the act of deglutition it will often be foundthat fluids are swallowed without difficulty (Fig. 144). ? Removal of Intubation Tubes.—The intubation tube usually remains inplace about a week. I usually remove it within 3 or 4 days, and if thebreathing is satisfactorily carried on for half an hour, and no dyspneaappears, its reintroduction may not be necessary. If, however, after ithas been out a few minutes, dyspnea returns, it should be promptly DIPHTHERIA 471 reintroduced and its removal should not be attempted for 3 or 4days. In many cases the tube is coughed out within a week from itsintroduction, and its reintroduction is not often required in thesecases. It can usually be permanently dispensed with in from 5 to 10days, although I have had cases in which
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