. The practice of pediatrics. Fig. 91.—Introductor with tube attached. safely be learned. Attempts at intubation by the unskilled on the liv-ing subject can result only in laceration and other gross injuries to theparts. Indications.—When to intubate is a question puzzling alike to stu-. Fig. 92.—ODwyer intubation set. dents and to many physicians. It has been variously answered, andmany attempts have been made to formulate a series of clinical manifes-tations the presence of which would render the operation , it has been said to be indicated when there is a pronounced reces- DIP
. The practice of pediatrics. Fig. 91.—Introductor with tube attached. safely be learned. Attempts at intubation by the unskilled on the liv-ing subject can result only in laceration and other gross injuries to theparts. Indications.—When to intubate is a question puzzling alike to stu-. Fig. 92.—ODwyer intubation set. dents and to many physicians. It has been variously answered, andmany attempts have been made to formulate a series of clinical manifes-tations the presence of which would render the operation , it has been said to be indicated when there is a pronounced reces- DIPHTHERIA 621 sion of the suprasternal and infrasternal regions, and when, as a resultof stenosis, air enters the bases of the lungs but feebly or not at all. Itmay safely be said that intubation is never done too early, but it is veryapt to be done too late—not too late in a great majority of instances tobe of some service to the patient, but too late to be of the greatest pos-sible service. My rule regarding intubation in laryngeal diphtheriais to intubate when I see that the child is wasting vitality in his efforts tocarry on respiration. Intubation should not be postponed until hebecomes exhausted in the struggle for air. Diphtheria is a disease in
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
