File:Interstate medical journal (1909) (14597183550).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
esthesia, and therefore we present theletters for the information of those who are interested in the subject: Dr. N. B. Carson, Humboldt Bldg., St. Louis.Dear Sir: Dr. Blake has handed me your letter of the 10th inst., with therequest that I give you the information you desire on apparatus for adminis-tration of ether per rectum. There is as yet no one who keeps in stock eitherthe Cunningham apparatus or any of the modifications of it, which we havecome to use at Roosevelt. I have made all of our own apparatus and thinkperhaps you would find it both quicker and cheaper to do likewise. TheCunningham apparatus is extremely simple, consisting only of an ether cylinder,approximately 2 inches in diameter and from 9 inches to 16 inches, or even18 inches, in height; a hand bulb connected with a tube passing through thecork of the ether flask and to the bottom of the ether; and another tube merelypenetrating the stopper of the ether chamber and serving to connect the samewith the rectal tube.
Text Appearing After Image:
Illustration of Apparatus. The ether was heated by immersion of the ether cylinder in a pail of warmwater. When desirable to do so, the gases were allowed to escape from thegut by introducing the finger into the anus alongside the rectal tube and some-what dilating the sphincter. To overcome this difficulty, Dr. Leggett, of theSurgical Research Department at P. & S., introduced a T-tube into the con-nection between ether cylinder and rectal tube, placing a clamp on the lateralbranch. By releasing this, the pressure could be conveniently let off the bowelat any time. 324 INTERSTATE MEDICAL JOURNAL In my own apparatus I have changed this T-tube to a modified Y-tube andplaced it between the patients thigh within 2 inches of the anus, shorteningthe rectal tube accordingly and connecting the afferent tube to the gut with the

Note About Images