Page images
PDF
EPUB
[ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

One hundred of each mailed to any address on receipt of $2.50. Samples free on application.

Made only by THE MERCER CHEMICAL COMPANY, Omaha, Neb.

720

[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed]

THE IMPROVED "YALE" SURGICAL CHAIR.

HIGHEST AWARD WORLD'S FAIR, OCT. 4TH, 1893.

[graphic]

1st, Raised by foot and lowered by automatic device.-Fig I.
2ra. Raising and lowering without revolving the upper part o'
the chair. Fig VII.

3rd. Obtaining belght 1 392 inches -Fig VII.

4th. A strong in the highest as wheu in the lowest position.
-- Fig VII.

5th. Raised, lowered, tilted or rotated without disturbing
patient.

6th. Heavy steel springs to balance the chair.

7th. Arm Rests not dependent on the back for support - Fig.
VII-always ready for use; pushed back when using sur
rups-Fig. XVII ma be placed at and a ay ro. side o
chair, forming a side tab e for Sim's position-Fig XIII.
8th. Quickest and easiest operated and must substantially
secured in positions.

[graphic]

9th. The leg and foot rests folded out of the operator's way at any time-Figs. XI, XV and XVII.

10th. Head Rest uoiversal in adjustment. with a range of from
14 inches above seat to 12 inches above back of chair, fur-
nishing a perfect suppor. in Dorsal or Sim's position.-
Figs. XIII and XV.

11th. Affording unlimited moaifications of positions.
12th. Stability and firmness while being raised and rotated.
13th. Only successful Dorsal position without moving patient.
14th. Broad turntable upon which to rotate the chair, which

cannot be bent or twisted.

15th. Stands upon its own merits and not upon the reputation

of others.

Pronounced the ne plus ultra by the Surgeon, Gynæcologist, Oculist and Aurist

MANUFACTURED EXCLUSIVELY BY

CANTON SURGICAL AND DENTAL CHAIR CO.,

38 to 54 East Eighth and 50 to 52 South Walnut Streets, CANTON, OHIO.

MAY11 1896

KANSAS MEDICAL JOURNAL.

VOL. VII.

JED

MAY 11 1896

E. H. B

TOPEKA, KANSAS, SATURDAY, JANUARY 5, 1895.

DIPHTHERIA.

[ORIGINAL.]

Intubation.

BY L. H. MUNN, M.D., TOPEKA.

No. 1.

introduced tubes in ten cases-in one case having to return the tube three times and in two others twice, making in all fifteen introductions. Of these cases four recovered and six died. One had ceased to breathe while we were preparing, but I immediately introduced the tube, practiced artificial respiration, gave a hypodermic of strychnia, and had the satisfaction after some minutes of seeing the breath come again, and finally resting in quiet sleep. This child died

Read at the December meeting of the Topeka Academy of thirty-six hours after from extension of the

Medicine and Surgery.

exudate downwards.

Last Friday our president requested me to Another case in which, after assurances give at this meeting a brief resume of my that the operation in itself was not dangerexperience with intubation. He thought ous, was being placed in position on its five or ten minutes would suffice, and as I father's shoulders, stopped breathing. We kept no report of my cases I feel that the quickly introduced the tube and practiced time allowed will be ample indeed. I fear that what I can say will be of little benefit to you.

About four years ago I was called to Sixth and Buchanan streets with the advice to come prepared for a tracheotomy. Upon arrivai found Drs. Grubbs, Boam and Lindsay. It was a typical case. The peculiar croupous respiration, recession of the chestwalls, cyanosis of the lips, restlessness, absence of vesicular murmer, etc.-briefly, a case of laryngeal stenosis demanding air.

every effort, but without effect-it never breathed again. This child had suffered from dyspnoea about four days and probably succumbed from exhaustion-heart stopping with that last gasp.

The oldest case in my short series was ten years, and the youngest twenty months. Tracheotomy was not performed on any of them, though in all, from my former experiences, it was indicated, that is, for temporary relief.

Numerous practical accidents are reported from intubation, and theoretical difficulties may be contemplated, but I can say that thus far I have been fortunate. In none have I lost the tube in the stomach, but this would be of less importance if one has another tube. A serious accident happened in my first case by the tube falling through the

The child (about 4 years of age) was restrained and supported by the father, and the promptness and skill with which Dr. Lindsay inserted the tube excited my admiration. The immediate relief of symptoms were most gratifying to the family and witnesses. The little patient who before the operation was sleepless, laboring for ventricular bands into the larynx. The case breath, suffering tortures, was soon left sleeping quietly and afterward made a good recovery.

The favorable impressions from this case determined me to try it myself when opportunity should present, and since then have

was a boy four years of age with stenosis probably from diphtheritic origin. After making several unsuccessful attempts to place the tube, I attributed failure to the large size of the tube selected and took a smaller one, which after awhile I introduced.

1

« PreviousContinue »