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INTUBATION IN DIPHTHERIA.

INTUBATION IN DIPHTHERIA. I will make a strictly clinical report of four cases of intubation, selected from a number during the recent endemic of diphtheria in Louisville, two of which were fatal, and two successful. Case i.—Oct. 29th; I was called by Dr. Ernest Yeager to intubate the larynx of Robt. W., æt. 7 years and 5 months. On examination I found diphtheritic patches on the tonsils and in the pharynx. In the larynx the mucous membrane was swollen and tumefied, but there was no false membrane. Respiration, 36 per minute; pulse 150 and thready; temperature 102½. He was in a semi-comatose condition and very much cyanosed. The intercostal spaces were depressed and did not rise with inspiration. The dyspnœa was distressing. A tube the size required for an eight year old child, was introduced into the trachea, which relieved the dyspnœa immediately. At the end of an hour, respiration was 22; pulse, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

INTUBATION IN DIPHTHERIA.

JAMA , Volume XVIII (3) – Jan 16, 1892

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Publisher
American Medical Association
Copyright
Copyright © 1892 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1892.02411070006001c
Publisher site
See Article on Publisher Site

Abstract

I will make a strictly clinical report of four cases of intubation, selected from a number during the recent endemic of diphtheria in Louisville, two of which were fatal, and two successful. Case i.—Oct. 29th; I was called by Dr. Ernest Yeager to intubate the larynx of Robt. W., æt. 7 years and 5 months. On examination I found diphtheritic patches on the tonsils and in the pharynx. In the larynx the mucous membrane was swollen and tumefied, but there was no false membrane. Respiration, 36 per minute; pulse 150 and thready; temperature 102½. He was in a semi-comatose condition and very much cyanosed. The intercostal spaces were depressed and did not rise with inspiration. The dyspnœa was distressing. A tube the size required for an eight year old child, was introduced into the trachea, which relieved the dyspnœa immediately. At the end of an hour, respiration was 22; pulse,

Journal

JAMAAmerican Medical Association

Published: Jan 16, 1892

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