Tracheotomy

(tra-ke-ot’-o-me). The operation of making an opening into the windpipe, and inserting a tube so that the patient breathes through the tube instead of through the mouth. This is performed in cases such as diphtheria, where the membrane is causing suffocation; or scalded throat, where the swelling is closing the larynx. The nursing is most important. A tent-bed into which the steam of a kettle can be directed must be prepared; hang a thermometer over the patient’s head, and keep it at 65°. Remove the inner tube when nece ary, clean it quickly, and replace it immediately. Have at hand feathers, basin of water, and oil for the cleaning proce . The nurse must remember that the tube must be kept clear at all cost, or death will result. Sometimes a small piece of flannel wrung out in hot water and changed every few minutes is kept over the opening of the tube. — s. 152 —