A manual of modern gastric methods : chemical, physical, and therapeutical / by A. Lockhart Gillespie ... ; with a chapter upon the mechanical methods used in young children / by John Thomson.

  • Gillespie, A. Lockhart (Alexander Lockhart)
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: A manual of modern gastric methods : chemical, physical, and therapeutical / by A. Lockhart Gillespie ... ; with a chapter upon the mechanical methods used in young children / by John Thomson. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    the funnel at the free end should be depressed, so that, if the action of retching be sufficiently strong to force some of the contents even a little beyond that part of the tube which projects out of the mouth, syphon-action may take place. If the patient's own exertions are not sufficient to force some of the contents through the tube, the opera- tion of expression may be performed, as first suggested and performed by Ewald. This operation simply means the application of pressure over the region of the stomach, the patient bending forward at the time, by which means the contents may often be forced with great ease through the stomach-tube. The pressure may be applied by the operator or by the patient himself If, before a sufficient quantity of the contents have been obtained, a blockage of the lumen occurs and no more will pass through the tube, it may be M'ithdrawn for an inch or so and then passed back again. After this the obstruction generally disappears. If none, or too little, of the contents can be obtained in this way, a method which I have found very valuable may be tried,—i.e., fill the funnel with warm water, pinching the india-rubber tube a short distance below with the left hand, so that no air can get down ; then relaxing the pressure, let the water fill the tube to some way beyond the piece of glass inserted in the middle of it. Then, Avhen just enough water has been allowed to pass down to fill the tube, lower the funnel, let the water run into the pail, and the contents of the stomach are sucked up by the syphon-action thus induced, and may be caught, when they appear after the water, in a clean basin