The Delaware register, or, Farmers', manufacturers' & mechanics' advocate. [volume] (Wilmington, Del.) 1828-1829, 1829-01-03
From lhe Auburn NC rress.
TRACHEoToMY, IN THE CRoUr OR RArrIns.

Croup on the first of last month, and the most efficient
means were Immediately employed and administered
for her relief, and their application was continued
through the course of eight days with Temporal
nv remissons in the symptoms of increasing nllamma-
ton, filling of the wlndppe and sympathetic affection
of the lungs, but without any permanent relief.
At the end of the above period it was deemed alto
qether useless to attempt the farther administration Of
the usual remedies in that stage of the disease, the
child with its pulse scarcely perceptble) in the opin
ion of all persons present. could live only short time,
from interrupted respiration occasloned by the swell
hnr and formation of a preternatural membrane in
the upper portion of the wndpipe.
In this critical state and the only means of relief,
the operation of Tracheotomy opening the windppe
directly above the breast-bone, advised and per-
formed by DIR Joseph T. Pney of this village, in the
presence of a number ofmedica gentlemen After ay-
inc cut with great caution, than one inch deep,
through various parts, the windppe exposed to
view and an incison made into it, through which there
was an instantaneous gush of bloody muco-purulent
matter.
To facilitate respiration, and the discharge of mu-
Gus from the lungs and traclca, the opening was then
enlarged by cutting out small portion OF the wind
pipe, through which she breathed and expectorated
freely, and was completely relieved.
Her pulse instantly rose, and became distinct and
regular. A silver tube then introduced, lest the
sides ofthe wound might collapse; but from apprehen-
sions of its irritation, and obstruction to the free dis
charge Of the mucus, it removed, and no necessl
ty occurred for replacing it.
From this time she began to improve slowly and
continued breathe freely through the artificial open
ing eight days after the operation.
From the diseased state Of the windpipe, and its in
Vulnerable ramifcations through the lungs, the little
patient coughed very much, and during the first four
DAYS after the operations eXpecorated through the open
ING daily more than half pint of mucopuruent mat
ter, with shreds pieces of preternatural membrane
streaked with blood.
After this period, the cough and expectoration grad
ualy lessened, and she improved much faster than
anticipated.
During the first four days after the operation she
was rational, and had a comparatively requisite por
ton of strength, but was perfectly speechess the
air did not pass from the lungs through the fauces
throat, the upper portion of the wndppe having en-
trely closed. She manifested her wishes by motions
On the fifth day it discovered that very little
air passed through the mouth and for the first time,
with difficulty, she was heard to whisper.
On the eighth day from the operation, the cough
and expectoration through the aperture having very
much abatcd, it was ascertained by experiment that
she could breathe with toerable through her
mouth; the wound therefore closed, and on the
10TH day from the operation it was healed, and she
walked about the floor and spoke, and continues to
speak with audible voice.
Her diet after the operation new sweet milk,
which she swallowed without difficulty.
In the recovery of this patient, much credit is due
20 the uremttng attention of the nurse in clearing
the artificial opening of pieces of membrane, and