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January 16, 1892

INTUBATION IN DIPHTHERIA.Read before The Mitchell, Ind., District Medical Society, Dec., 17, 1891.

JAMA. 1892;XVIII(3):66-67. doi:10.1001/jama.1892.02411070006001c

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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,

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