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Updated: May 6, 2025
Carteret was weeping hysterically. "How is he, doctor?" asked the major. "He is very low," replied the young man. "Nothing short of tracheotomy an operation to open the windpipe will relieve him. Without it, in half or three quarters of an hour he will be unable to breathe. It is a delicate operation, a mistake in which would be as fatal as the disease.
After tracheotomy has been performed, the oedema and swelling of the larynx subside in three to six days. This last chapter cannot begin more fitly than by quoting again the words of Mr. McMaster: "George Washington is an unknown man." Mr.
"Pulmonary dyspnoea settled on her chest heart too weak to do a tracheotomy run a tube down...." They opened the door of the room and told her to go into it. She paused at the threshold and wept, though she could not see her mother, because the room was so like her mother's life. There was hardly anything in it at all.
In the surgical operation of tracheotomy, a successful treatment of the patient hangs, we believe, on the promptness and skill of the introduction of the artificial windpipe; and it may be that our unhappy countrymen when cut off from the source of their breath were not neatly handled; or else that there is a physical opposition in them to anything artificial, and it must be nature or nothing.
In the Field Ambulance or Casualty Clearing Station further measures are employed for the relief of shock, and urgent operations are performed, such as amputation for gangrene, tracheotomy for dyspnœa, or laparotomy for perforated or lacerated intestine.
No external enlargement was perceptible; but on introducing my hand into the mouth, a large polypus was found hanging from the velum palati into the pharynx, greatly obstructing the elevation of the epiglottis and the passage of food. After performing tracheotomy, to prevent suffocation, I passed a ligature around its pedicle in the way suggested by the old anatomist, Cheselden.
Black mentions a man of thirty-nine who recovered after swallowing 1 1/2 ounces of commercial hydrochloric acid. Johnson reports a case of poisoning from a dram of hydrochloric acid. Tracheotomy was performed, but death resulted. In this instance insensibility did not ensue until two minutes after taking the poison, the retarded digestion being the means of saving life.
In the surgical operation of tracheotomy, a successful treatment of the patient hangs, we believe, on the promptness and skill of the introduction of the artificial windpipe; and it may be that our unhappy countrymen when cut off from the source of their breath were not neatly handled; or else that there is a physical opposition in them to anything artificial, and it must be nature or nothing.
Our only resource in this form of the disease used to be by mechanical or surgical means, opening the windpipe below the level of the obstruction and inserting a curved silver tube the so-called tracheotomy operation; or later, and less heroic, by pushing forcibly down into the larynx, and through and past the obstruction at the vocal cords, a small metal tube through which the child could manage to breathe.
Tracheotomy was performed but the dyspnea continued, showing that the foreign body was lodged below the incision. The blood of one of the cut vessels entered the trachea and caused an extra paroxysm of dyspnea, but the clots of blood were removed by curved forceps. Marcacci fils practised suction, and placed the child on its head, but in vain.
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