Diseases of infancy and childhood (1914) (14585383429)

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:

ned nurse steadies the childs head and holds the gag inplace. Willi the child tiat on its back, the hands llrndy held by a blanketenciicling the body, the physician stands on the right side of the child andintroduces the index linger of his left hand in the median line until theepiglottis is felt. The epiglottis should be raised and fixed. The tubeshould then be guidcnl with (\w right hand of the operahn*. along the left ^ The sot of photographs illustrating intnUation. t>\( uhat ion. andtaken in the wards of the Willard Parker llospit-al. axaize wim 548 THE INFECTIOUS DISEASES. index finger, and inserted into tlie ciil-de-sac of the larynx. It would beprofitable to read ODwvers description of the method of intubation whichI append here, the only difference being that ODwyer recommends the sit-ting position, whereas I advocate the dorsal position. Upright Method of Operating.—The nurse or person who holds thechild should be seated on a solid chair with a low back, and the patient

Text Appearing After Image:

Fig. 177.—Intubation. Left index finger raising the epiglottis. The intro-ducer with tube attached is glided along the finger. (Original.) placed on the lap with head resting on. left shoulder of nurse in order toleave the gag free. The hands can either be held or, still better, secured bythe sides, by a towel or sheet passed around the body and left in thatposition until the tube is inserted and the string removed. Fastening thehands in front of the chest or thick garments in the same location rendersit more difficult to depress the handle of the introducer sufficiently to carrythe tube over the dorsum of the tongue. The gag is then inserted well back behind or between the teeth in theleft angle of the mouth and opened widely, care being taken not to do it PLATE XXV

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1914

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