File:Diseases of infancy and childhood (1914) (14585550327).jpg

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

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it went into the blood-stream immediately;therefore, this means should be used in desperate cases. Intravenous Injections.—^The most rapid method of bringing the anti-toxin into direct contact with the toxin is by intravenous injection. The DIPHTHERIA. 537 dose injected should be at least 10,000 to 20,000 units. The site of theinjection preferred is the median basilic vein at the bend of the elbow. Invery yoimg infants the jugular vein is more preferable. With a supportingpillow at the nape of the neck the jugular vein stands out prominently andthe technique of the injection is simplified. In many instances it will benecessary to expose the vein in order to successfully inject the antitoxin.With the aid of a 6 per cent, aqueous cocaine solution local anaesthesia canbe sufficiently attained. If we are careful to exclude all air w^hile injectingthe antitoxin, no untoward symptoms will follow. If the site of themedian basilic vein is chosen, compression above the bend of the elbow will
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Fig. 170.—No. 1 shows the method of transfixing and raising the veinwith a sewing-needle and holding it in the elevated position by means of ahsemostat. The syringe needle is shown inserted into the vein beneath thetransfixing needle. No. 2 shows more in detail the method of fixation andthe insertion of the needle. No. 3 shows what frequently happens in at-tempting to insert the needle of the syringe without first fixing the vein.(After Watson.) make the vein stand out prominently. Sterilize the surface, and injectseveral drops of cocaine. Make a small incision across the course of thevein. The arm is corded above the elbow, so as to cause the vein to becomedistended and prominent. The vein is then transfixed with a straightsurgical needle. The cord may then be IoosimuhI and the needle of thesyringe inserted into the vein at right angles io anil beneath the surgicalneedle, which- is raised by a haMuostatic foi-ceps. Fig. KO illustrates theadvantages of this method. Lari/iKjeal Sleii

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