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February 19, 1887


JAMA. 1887;VIII(8):199-202. doi:10.1001/jama.1887.02391330003001a

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The unusual interest manifested by physicians in the treatment of pseudo-membranous croup by the O'Dwyer method, induces me to report the following cases:

Case 1.—Nov. 18, 1886,I was askedby Dr. Kettring to see a child of Mr. Galata, of this city. I responded at once and found a well-marked case of pseudo-membranous croup that had been in progress six days. It had commenced lightly and gradually grown severe until now it threatened to prove speedily fatal. I advised intubation of the larynx or tracheotomy, giving preference to the former procedure. The family consenting, Dr. Kettring was called and concurred curred in my diagnosis, and agreed to the plan of treatment. We proceeded at once to introduce the tube, using the size for a child 2 to 3 years of age, our patient being 2 years and 4 months old. A marked improvement in respiration occurred in two or three minutes

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