Diseases of children for nurses . ttimes to perform intubation. The operation consists inthe introduction of a tube into the larynx. It opens thelarynx and allows free breathing in cases where the larynxhas become almost closed from the diphtheritic membrane. Different caliber tubes are used for the various the operation it is necessary for the nurse to holdthe childs head in the following manner: The child iswrapped in a blanket to secure the arms and legs. Thenurses legs being crossed, her knees should firmly graspthe childs legs, her arms should hold the childs upperextremities,
Diseases of children for nurses . ttimes to perform intubation. The operation consists inthe introduction of a tube into the larynx. It opens thelarynx and allows free breathing in cases where the larynxhas become almost closed from the diphtheritic membrane. Different caliber tubes are used for the various the operation it is necessary for the nurse to holdthe childs head in the following manner: The child iswrapped in a blanket to secure the arms and legs. Thenurses legs being crossed, her knees should firmly graspthe childs legs, her arms should hold the childs upperextremities, and her hands fix the head. At times thechild is placed on a table, the head extending over theend and firmly held by a nurse. The child should bewrapped in a blanket. CONTAGIOUS DISEASES 303 Tracheotomy.—An incision of the trachea. It is neces-sary at times to open the trachea below the larynx to savethe child from suffocation. A tube is introduced throughthe opening and the breath is drawn into the lungs throughthis Fig. 87.—Position for feeding in intubation. The head is allowed to drop over side oflap. Junket or semifluid food is most easily swallowed. Nursing.—Intubation and tracheotomy demand con-stant nursing and watching. In tracheotomy if a piece ofmembrane or mucus plugs up the openings in the tubessuffocation results. If it becomes necessary to removethe inner tracheotomy tube, it is unlocked and drawn out;it should be cleansed in boric acid. Long feathers arepassed through the opening and the mucus dislodged. 304 DISEASES OF CHILDREN FOR NURSES After the air-passages are free the inner tube is moist atmosphere should be maintained. After theattack is over the tube is removed, the opening closed, andthe child resumes breathing through the natural passages. In intubation, after the physician has introduced thetube, he may cut the silk thread immediately or he mayloop it over the ear. If he does the latter, it must be heldfast by a strip o
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