Albany, N. Y.
Resident in Otolaryngology (Dr. Allen) and Assistant Attending Anesthetist (Dr. Landmesser). Albany Hospital.
During the recent epidemic of poliomyelitis in New York State, several patients with the bulbar-respiratory type of the disease who had been placed in one of the common cylinder type (Emerson) respirators required emergency tracheotomy. The problem arose of how best to adjust the rubber respirator collar about the patient's neck to make room for the tracheotomy tube without interfering with the air-tight fit essential to the efficiency of the respirator.
Various methods attempting to solve this problem have been described by others,1 but in our hands the emergency method devised by us has proved both simple and efficient. The equipment necessary for this method consists of (1) any mediumsized retractor of the type commonly used in abdominal surgery, (2) a roll of 1 inch (2.5 cm.) gauze and (3) a band of 2 inch (5 cm.) stockinet, 1½ feet (46 cm.) long, stuffed with cotton.
The retractor blade
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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