. Operative surgery. hen surrounded by the turmoil incidentto the operation, to be certain of the location ofthe trachea. If the index finger be inserted intothe wound the trachea will roll under it, andbe felt ascending and descending beneath itsextremity, and, when sufficiently isolated, therings can be seen and felt. Also, the inexpe-rienced operator is likely to open the trachea atone side of the median cut, making it difficultto introduce the tube, causing it to bind afterintroduction, and not infrequently, if the tis-sues overlap the cut before its introduction,causing air to be forced b
. Operative surgery. hen surrounded by the turmoil incidentto the operation, to be certain of the location ofthe trachea. If the index finger be inserted intothe wound the trachea will roll under it, andbe felt ascending and descending beneath itsextremity, and, when sufficiently isolated, therings can be seen and felt. Also, the inexpe-rienced operator is likely to open the trachea atone side of the median cut, making it difficultto introduce the tube, causing it to bind afterintroduction, and not infrequently, if the tis-sues overlap the cut before its introduction,causing air to be forced between their planes, creating local emphysema. Ifthe knife be inserted too far, the posterior wall of the trachea will be divided. The Operation below the Isthmus (Low Tracheotomy, Figs. 866 and867).—Place the patient as for laryngotomy, and, if practicable, employ ananaesthetic. Support the trachea in the median line, and make an incisionextending from the cricoid cartilage to within half an inch of the top of the. Fig, 867.—Operations on thelarynx. Z. Hyoid bone. cartilage. R. Cricoidcartilage. Th. Outline of thethyroid gland. J. Subhyoidpharyngotomy. //. Ihy-rotomy. ///. Infrathyroidlaryngotomy. IV. Cricot-omy. V. High Low tracheotomv. 688 OPERATIVE SURGERY.
Size: 1103px × 2266px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
