Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
When the symptoms are of such a type as portend the access of paroxysms
of threatened suffocation, bleeding has been strongly recommended, but
unless resorted to in the first twenty-four or forty-eight hours is
rarely admissible. Also in weakened constitutions and when the fever is
of a low type, with small, weak pulse and general dullness and
prostration, the temporary relief obtainable from bloodletting will not
often counterbalance the danger of increasing weakness, and the loss of
recuperative power. In all such cases the application of a strong
mustard poultice for several hours in succession, until an abundant
effusion has taken place, into the skin and beneath it, has often the
best effect by virtue of its depletive and derivative action. Active
friction of the limbs to improve their circulation and increase their
temperature is also useful.
=Tracheotomy.= When suffocation becomes imminent not a moment must be
lost in performing _tracheotomy_. This operation is always available in
threatened suffocation from obstruction to the passage of air in the
nostrils and throat.
Different methods of opening the windpipe have been resorted to. One is
by means of a cannula and trochar at least three-fourths of an inch in
diameter and about five inches long and with two large oval orifices in
the middle of the cannula, and on opposite sides. This is made to
transfix the windpipe with its investing skin and muscles from side to
side in the middle of the neck, care being taken to pass it in the
interval between two adjacent cartilaginous rings. The trochar is now
withdrawn and the orifice in the cannula corresponding to the interior
of the windpipe, the animal is enabled to breath freely through the
tube. The cannula has only then to be secured in its place by a tape
carried round the neck.
The more common plan is by introducing a tube through a circular opening
made in the trachea. For this operation are needed, scissors, knife with
a thin narrow blade, needle and thread, and tracheotomy tube. The common
tube is about an inch in diameter, four to five inches long bent upon
itself so as to fit into the trachea, and furnished with a flat shield
to slits in which cords may be attached to fix it in its place. A second
variety is only long enough to reach into the windpipe. It is provided
with a flattened shield externally and from its inner extremity projects
downwards at right angles a plate curved so as to adapt it to the form
of the interior of the trachea. There is an additional plate to fit into
the upper part of the tube, provided with two lips projecting from it at
right angles; the outer lip is screwed to the shield after the tube has
been introduced into the wind pipe and the inner lip is thus fixed
inside the ring of the trachea, immediately above the opening and
effectually prevents any displacement of the tube.
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