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January 29, 1887


JAMA. 1887;VIII(5):125-126. doi:10.1001/jama.1887.02391300013002

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A Practical Hint for Tracheotomy.  Mr. W. Leonard Braddon says: The operator is usually recommended, standing preferably on the right side of his patient, after first determining the exact relation of parts, to fix the trachea with the left hand, the fingers on one side and the thumb on the other, at the same time stretching the skin at the site of incision. The direction is at least distinct, but the manipulation is usually in effect very different. In all of many cases which I call to mind, there has been a little (the only) trouble in the operation, and in some, considerable danger, delay, or anxiety, consequent upon the way in which the attempt is made to keep the windpipe steady, as customarily taught and performed: Four fingers on the left side and the thumb upon the right side of the larynx, press with more or less force

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