File:The diseases of infancy and childhood (1910) (14577367599).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
Introduction of the tube into the chink of the glottis. Fig. 72. >Ji ;/ kv I v_ The index finger pushes the head Of the tube Into place in the larynx. Figs. 71, 72.—The operation of intubation of the larynx. Position of child, operator ami assistant. 406 THE SPECIFIC INFECTIOUS DISEASES. held upright in the arms of a nurse, so that the head of the patientis on a level convenient to the operator, who stands facing the patient.An assistant standing behind the nurse steadies the head of the patient.The gag is introduced by depressing the tongue and jaw with a tongue-depressor. The assistant steadies the gag as he holds the head tiltedvery slightly backward. The tube, threaded with a silk ligature, iswith its introducer held firmly with the right hand. The index fingerof the left hand is now introduced into the mouth to the root of thetongue and search made for the epiglottis. In young infants1 the Fig. 73.
Text Appearing After Image:
Method of hooking forward the epiglottis in intubation. epiglottis is short. The finger must be introduced quite deeply, feel-ing the arytenoid cartilages of the larynx, and is then drawn upwarduntil the epiglottis is hooked forward. The index finger now holdsthe epiglottis (Fig. 73), and in a small larynx a skilled operator canalso feel the arytenoids (Fig. 74). The tube is now introduced inthe median line of the mouth along the palmar surface of the indexfinger (Fig. 69), and the finger guides the tube over the epiglottis 1 Peculiarities of the Larynx.—Thomson and Turner have shown that the infan-tile form of larynx differs materially from that found later in life. At birth andin infants and young children the epiglottis is very small and gutter-shaped. Theglottis is guarded above by the aryteno-epiglottic folds, which are closely approxi-mated to each other. Toward the tenth year the epiglottis becomes much flattened,the aryteno-epiglottic folds become widely separated, and the l

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