A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . INTUBATION OF THE LARYNX. 579 more serious operation of tracheotomy. Though especially employedin cases of diphtheria and oedema of the glottis, it is possible that itmay be of advantage in cases of foreign bodies in the trachea, becauseit will probably prevent fatal asphyxia from spasm of the glottis, dueto such foreign body being coughed up against the lower surface of thevocal chords. In such a condition intubation would seem
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . INTUBATION OF THE LARYNX. 579 more serious operation of tracheotomy. Though especially employedin cases of diphtheria and oedema of the glottis, it is possible that itmay be of advantage in cases of foreign bodies in the trachea, becauseit will probably prevent fatal asphyxia from spasm of the glottis, dueto such foreign body being coughed up against the lower surface of thevocal chords. In such a condition intubation would seem to be of ser-vice as a temporary measure until arrangements can be made to openthe trachea for extraction of the foreign substance. Intubation, which is seldom required in adults, is performed with thechild held in the nurses arms or lying upon a bed, without being Fig. Intubation tube and introductor. etherized. A gag is placed between the teeth on the left side of themouth, in order to hold the jaws apart, and an assistant holds^thepatients head well back. The surgeon introduces his left forefingerinto the mouth to press down the tongue and locate the glottis. Hethen guides the tube with his right hand into the glottis. After it hasbeen so introduced the detachable handle or obturator is removed. Thepatient then breathes through the tube, which is kept in place by reasonof its shape. At the top of the tube is a flange to prevent the instru- Fig. 341.
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