Tracheotomy in laryngeal diphtheria (membranous croup) : with especial reference to after-treatment to which are added a few general remarks on diphtheria, and its earlier treatment / by Robert William Parker.

  • Parker, Robert William, -1913.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Tracheotomy in laryngeal diphtheria (membranous croup) : with especial reference to after-treatment to which are added a few general remarks on diphtheria, and its earlier treatment / by Robert William Parker. Source: Wellcome Collection.

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    One trachea dilator. Two or three trachea tubes; and tape. An elastic catheter. Some feathers. As useful, may be added :— Another scalpel. A fine key-hole saw. Scissors. Artery forceps. One or two bulldogs. Two blunt hooks. One sharp hook. ' Laryngeal brushes. The automatic retractor. Variety of tubes. Needles. Ligature silk.* The Operation.—The various instruments required should be laid out, and the operating table placed so as to secure the best possible light. The child is then placed upon it. Chloroform (if this have not been pre- viously done) is now administered. When the narcosis is completed, the patient must be got into position. The point to secure is the greatest possible prominence for the neck. This is best accomplished by laying the child on its back, and putting beneath the shoulders a small rotmd cushion (one may extemporize a very useful cushion by rolling an empty wine-bottle in a towel). It matters little how it is accomplished, provided the end be attained. I may just say, that I have myself failed, and have seen others fail also, to get the neck into a suitable position from using too large a cushion. The trachea may be opened either above or below the isthmus of the thyroid gland. These operations are * A very neat portable case, containing all the above instruments, has been made for me by Maw and Son, and by Krohne and Scsemann.