A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . wayinto the larynx or trachea. Theinstrument consists of three por-tions : first, a gum-elastic tube ofthe size of a No. 8 English cathe-ter, terminating at one end in aslightly bulbous extremity perfo-rated laterally by two rather largeholes, and at the other in a metalring and bayonet joint; secondly,a pear-shaped india rubber bottle ;thirdly, a connecting portion ofmetal tubing provided with a screwand a tap. The mode of using thisinstrument is as follows : The connectin
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . wayinto the larynx or trachea. Theinstrument consists of three por-tions : first, a gum-elastic tube ofthe size of a No. 8 English cathe-ter, terminating at one end in aslightly bulbous extremity perfo-rated laterally by two rather largeholes, and at the other in a metalring and bayonet joint; secondly,a pear-shaped india rubber bottle ;thirdly, a connecting portion ofmetal tubing provided with a screwand a tap. The mode of using thisinstrument is as follows : The connecting portion isfirst unscrewed and the nutritive fluid poured into thebottle, when the metal tubing is again screwed on,and the tap closed. The practitioner now introducesthe gum-elastic tube into the oesophagus, and an assist-ant at once hands him the feeding-bottle, which he quickly adjusts to thebayonet joint, and turning the tap, injects the fluids. As there is gener-ally great irritability of the throat in such cases, the success of the oper-ation largely depends on the quickness with which it can be performed. In. Fig. 11.—CEsophagealFeeding-tube. Fig. 12.—The Rectal Feeding-botlle. 1 Trans. Intern. Med. Congress, London, 1881, vol. ii., p. 392 et seq. 2 In insane persons, or others who perversely refuse food, this method of admin-istering sustenance is most efficacious, as any difficulty in opening the patients mouthis thereby avoided, and he is unable to apply his teeth to the instrument, or to thefingers of the operator. 3 Proc. Clin. Soc. Lond., November 11, 1881, reported in Lancet, November 19,1881, vol. ii., p. 873. 2 18 DISEASES OF THE THROAT AND NOSE. cases of emergency, where this instrument is not at hand, a commoncatheter and an ordinary enema-bottle can be used, but the tap and bayonetjoint greatly facilitate the operation of feeding. Tlie Rectal Feeding-bottle.—It so often happens that in diseases of thethroat feeding per rectum becomes necessary, that th
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherne, booksubjectnose
