A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
Tobold's lamp consists of a brass tube containing several lenses, which
are placed, one before the other, at such distances as to give the
greatest possible amount of concentration of light. The back part of
the tube is closed, while near the end two large holes are cut in its
sides opposite to each other, through which the chimney of the lamp
projects. The whole is fastened by means of clamps to a stand, to which
is also attached a jointed arm bearing the reflector. This apparatus is
used either in connection with a student's lamp or with an argand
gas-lamp, and it will be found very convenient to have it mounted upon
a gas-bracket which can be raised and lowered and swung from side to
side.
Mackenzie's light concentrator consists of a cylinder of sheet iron
about 6 inches long by 2½ in diameter. Near one end a hole is cut in
the side of the cylinder, and a short piece of tube holding a
condensing lens is attached to the edge of the hole. This lens, which
is plano-convex with a spherical curve, and of 2½ inches diameter, is
placed with the plane side toward the light. {24} This concentrator is
intended to be slipped over the chimney of an argand burner, and should
be so adjusted that the centre of the flame corresponds with the centre
of the lens. It may, however, be used in connection with a student's
lamp, incandescent electric lamp, or even a candle, giving in all cases
a very satisfactory light, which, however, must be reflected from the
head mirror into the patient's mouth.
The best light, however, when the examinations are conducted in the
office of the physician, is the electric incandescent light, which
presents numerous advantages over the gas or oil lamp. It is more
brilliant and whiter than any other suitable artificial light, giving
off neither gases nor heat, nor does it consume the oxygen in the room;
and since the introduction and perfection of storage batteries it has
become available and convenient for use in private houses. Numerous
experiments which the author has carried on for some time have resulted
in the application of this form of light for laryngoscopy in two ways
which are both very satisfactory. The incandescent lamp is mounted upon
the universal gas-bracket in place of the argand burner, and either the
Tobold lamp or Mackenzie's light concentrator is slipped over it, so
that it comes opposite the centre of the lens. In fact, the electric
lamp is substituted for the gas-burner, and the whole apparatus is used
as described above. The arc light may also be used in the same manner,
but does not give as satisfactory results on account of its
unsteadiness.
[Illustration: FIG. 3. The Author's Electric Illuminator for the
Laryngoscope.]
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