Intubation of the larynx / by F. E. Waxham.

  • Waxham, F. E. (Frank Endoras), 1852-1911
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Intubation of the larynx / by F. E. Waxham. Source: Wellcome Collection.

Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.

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    clare the instruments are not strong enough, and who break their pes, their introducers or extractors. The same quickness and gentleness that is employed in passing a catheter should be exercised in pass- ing a tube into the larynx. No force should be used, no anaesthetic is required, and the operation should not require longer than from five to ten sec- onds. It is not only important to become perfectly familiar with the instruments and the details of the operation, but if possible, with the anatomy of the larynx by practical work upon the cadaver. In performing- the operation the physician should first select a tube suitable to the age of the patient, the smallest being; suitable for a child under two years; (see Fig. n) the next in size is appropriate Fig. 31. Scale for selecting proper size tube. for one between two and four; the next for one from four to six; the next from six to eight; the next from eight to ten, and if the extra tube is included in the set, it is appropriate for a child from ten to fourteen years. A suitable tube, however, may be selected by reference to the scale (Fig. 31) which accompanies each set. The tube should be threaded with braided silk or linen thread, making a loop (Fig. 32) about sixteen inches in length. The obturator should then be screwed upon the introducer, and the tube attached (Fig. 29). The instrument is then ready for use,