. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, occurduring the introduction of the intubation-tube is thedetachment and pushing of a mass of membrane in frontof the tube into the trachea; if the mass is too large tobe expelled through the tube, the breathing is suddenlyarrested. The tube should be removed at once, and if themass of membrane does not escape with the expiratoryefforts of th
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, occurduring the introduction of the intubation-tube is thedetachment and pushing of a mass of membrane in frontof the tube into the trachea; if the mass is too large tobe expelled through the tube, the breathing is suddenlyarrested. The tube should be removed at once, and if themass of membrane does not escape with the expiratoryefforts of the patient, the trachea should be rapidly openedas the only means of re-establishing the respiratory func- INTUBATION OF THE LARYNX. 583 tion. So much do I dread this accident, which hasoccurred in a few cases, that J never introduce the intuba-tion-tube without having at hand the necessary instru-ments to do a tracheotomy if it should be suddenlyrequired, and, if possible, obtain the consent of theparents or friends to perform tracheotomy if it should beindicated. Feeding after Intubation.—One of the greatest difficul-ties after intubation of the larnyx is the satisfactory feed-ing of the patient; liquids, as a rule, are not swallowed Fig. Feeding a case of intubation of the larynx. well, a portion escaping into the tube, causing coughingand difficulty in breathing. The diet I usually prefer issemisolid, such as corn-starch, soft-boiled eggs, and mush; 584 OPERATIONS UPON THE KIDNEY. and if these are not well swallowed, it may be necessaryto resort to nutritions enemata or the use of a stomach-tube to introduce food. Some patients swallow liquids andsemisolids quite well if the head is placed a little lowerthan the body during the act of deglutition (Fig. 490). OPERATIONS UPON THE KIDNEY. Nephrotomy.—In this operation an incision is madeinto the kidney. The incision for exposure of the kidneyis four inches in length, and should be made from a pointtwo and a half inche
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
