Therapeutic Memoranda

1881 BMJ (Clinical Research Edition)  
0o4 THE BRITISH MEDICAL _70URNAL.- [May 21, i88i. tions were thirty-five per minute, the cartilages of the ribs and sternum being drawn in at every effort to breathe, and crepitation existing over both lungs. The fauces were healthy. The pulse was I44, very weak. Having a No. i prostatic catheter with me, I determined to pass it into the trachea instead of performing tracheotomy. Watching an opportunity, while the tongue was depressed with a spoon, the catheter, curved a little more than usual,
more » ... le more than usual, was passed into the trachea, during an attempted inspiration, and without the slightest difficulty. A severe struggle followed, lasting perhaps a miinute or two, the face becoming purple, and the eyes staring with fully dilated pupils. The paroxysmal efforts to expel the tube being unsuccessful, a pretty full inspiration, partly through the tube and partly through the larynx, followed; about two ounces of frothy, bloody, and purulent mucus were ejected by the tube and the mouth ; the livid colour disappeared, and he lay down breathing easily through the tube. The presence of the tube did not prevent his swallowing milk, although sometimes a little of this was ejected from it during a cough. The tube was retained in situ by a strip of plaster; and the teeth were prevented from closing on it by means of a pear-shaped piece of hard wood.
doi:10.1136/bmj.1.1064.804 fatcat:gqvoc774w5csznjfv7ufpx37ym