Diseases of infancy and childhood (1914) (14585287359)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

ing the cheeks withfresh air and then blowing the same into the infants mouth. It can alsobe done by introducing a catheter into the infants laiynx. While the mouth-to-mouth method is simpler, it is not always a sure way of inflating thelungs. Quite frequently the air will be blown from the mouth, through thepharynx, into the stomach. To avoid the latter, the head should be thrownbackward, and compression made over the epigastrium. If tlie nose is closed,air is less likely to enter the stomach. Mouth-to-mouth insufllation of air is not devoid of danger. Keichreported a case of tuberculous meningitis due to attempts at reanimationby a tuberculous midwife. The Eibemont laryngeal tube is much safer. 48 DISEASES OF THE NEW-BORN. 1 Eibemonts tube for inflating the lungs is inserted like an intubationtube. It serves two purposes:— 1. Forcing air into the lungs. 2. The aspiration of mucus from the trachea or bronchi. Great care should be used with any and all methods. No force isnecessary.

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Fig. 16.—Infant Pulmotor. — ! n I ) Literature records many successful cases of resuscitation of the asphyxi-ated child with the aid of the Draeger pulmotor. ^ The infant pulmotor weighs twenty pounds and is carried in a boxabout 19 inches by 10 by 5. It contains a cylinder of oxygen. Each cylin-der contains oxygen sufficient for the continuous working of the apparatusfor one hour (Fig. 16). Two flexible metal tubes connect the instrument with the mask: one ^H. D. Fry, Surgery, Gynecology, and Obstetrics, Oct., 1913. ASPHYXIA NEONATORUM. 49 forces the oxygen into the lungs under the required pressure; the other is forsuction, and removes the vitiated air from, the organ. Technique.—The mouth, throat, and upper air passages are freed ofmucus by gauze wrapped round the finger and by holding the infant headdownward. It is then placed in the dorsal position upon a table or hardsurface, shoulders raised and head extended. If relaxed, the lower jaw mustbe held up and pushed forward. T

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1914

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