A text-book of practical therapeutics . dinary siphon may be used, but where there is any solid food orresistance suction by means of a stomach-pump is necessary. The best tube for adults in No. 20, made of red Para rubber withlateral holes. The methods by which lavage is employed, in addition to thosewhich have been named, are as follows: The tube should be passedbackward against the roof of the mouth, so that by following thecurve of the hard and soft palates it is directed into the pharynxand esophagus, and then by gentle pressure forced into the the same time the patient should
A text-book of practical therapeutics . dinary siphon may be used, but where there is any solid food orresistance suction by means of a stomach-pump is necessary. The best tube for adults in No. 20, made of red Para rubber withlateral holes. The methods by which lavage is employed, in addition to thosewhich have been named, are as follows: The tube should be passedbackward against the roof of the mouth, so that by following thecurve of the hard and soft palates it is directed into the pharynxand esophagus, and then by gentle pressure forced into the the same time the patient should be directed to swallow. The LAVAGE 617 mucus in the throat sufficiently lubricates the tube, and oil is not tobe used. If gagging is excessive, the pharynx may be first paintedwith cocaine. The irritability of the pharynx usually rapidly dis-appears, and it is surprising how quickly the patient becomes accus-tomed to the operation, and submits to it without any feeling ofdiscomfort. After the tube has reached the stomach a small funnel. Fig. 114. -The stomach-tube having been passed, the funnel is filled from a pitcherand elevated to urge the water into the viscus. is to be fitted in its external end, which is then held above the headof the patient while water prepared in the way already mentionedis poured into it until the stomach is filled, when the funnel end islowered and the stomach is emptied by siphonage. The stomach-pump has one very serious disadvantage, which ispresent with even more force in the case of a child than in an adult—namely, the danger of injury to the coats of the organ. This 618 REMEDIAL MEASURES OTHER THAN DRUGS apparatus is also more costly and cumbersome, and for childrenthe siphon is powerful enough in its action to take away all excusefor the use of the more complicated apparatus unless the contentsof the stomach are in bulk. It is particularly necessary in children, if a catheter is used andon account of the lack of intelligent aid and their liab
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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttherape, bookyear1922
