Pine Bluff daily graphic., 1896-01-01
A GREAT INVENTION.
IT PUMPS AIR INTO THE LUNGS so
 DYING MEN CAN BREATHE.
A Bellows Worked by the ot-Invented
 by Dr. o'Dwyer--An. Authenticated In- stance of Its Complete Success In a New
York Hospital.

pY LIT. OO~yefe-Aus Authenticated tn-
 stance of Its Complete Success In a New
 York Hospital
 Keeping up breathing in patient who is unable to breathe for himself is the latest triumph of medicine. The dis coyery or invention of this method was made by New York physician, Dr. O'Dwyer. 1t has been possible with its aid to maintain the respiration in the case of patients who must otherwise have surely died.
 The apparatus is very simple It con sists of foot bellows, a rubber tubing and metal tube, ending in conelike attachment. This attachment is insert ed into the throat, or, as the physicians put it, into the laryngeal socket. The top end of the metal tube has two open ings, one receiving the air from the bell l lows through the rubber tube and the other closed by the thumb during the time the air is being forced into the lungs, The thumb is removed during expiration, or the collapse of the chest.
 It will be seen that by this arrange ment the fresh air is pumped through the tube into the patients lungs When the lungs are full the chest collapses, and the fused up'' air is forced out This used up air consists largely of car bonio acid gas. which is poison, and hence it ought to be carefully kept out of tho tube. The arrangement of the opening controlled by the thumb at the top of the metal tube allows the bad l aiY fn TInNafosr h4,N air can enter the lungs
 It is easy to insert the end of the tube into the larynx. A mouth gag is used, the tongue drawn out, and the cpl glottis (which covers the opening of the windpipe) held back by the first finger of the left hand The tube is put in with the right hand. When the tube has been adjusted, the operator begins to work the bellows with his foot The chest immediately expands, and no air escapes except when the cone is too small. In such Il case larger cone can be put i'll.
 This artificial breathing is kept mp 12 times minute, and water is forced into the tube from time to time in order to keep the passages moist.
 The apparatus is especially useful i'll cases where the heart action is going on, but where the patient has great difficult ty in breathing. A typical condition of this sort is that resulting from taking too much morphine.
 At the Presbyterian hospital in New York recently all instance of this kind occurred. A German cook, 37 years of age, had taken 12 grains of morphine and was brought to the hospital at :8Gf D. III. i'll condition of stupor. E4 body had that blue or cyano9 az lils ance which is eharaeteeiss ss'9 s'ppeea- who are sufferinc e,sftstle or persons sonino rrba..rs X from morphine poi small pupils of his eyes were very - :, and he breathed but four times Ill each minute, and very feebly at that. His pulse was very high, registering 150 a minute.
 He was immediately placed under the charge of Dr. Walter B. James. and various drugs were administered for the purpose of counteracting the effect of the poison The stomach was also washed out It was seen that the mans condition was such that, unless some means could be employed for keep ing up the breathing, he must die. It was, therefore, resolved to use one of the O'Dwyer tubes.
 The tube was inserted at 10 80 D. m. and respirations were forced into the mans lungs at the rate of l2 every minute. The patients whole condition improved at once, The pulse became al most normal, and the blne color of the : face and hands disappeared. The stom- aoh pump was once more inserted along side the tube, and the stomach was washed thoroughly, after which more medicine was administered.
 At l1:30p. m. the patient was aroused, but his pulse was not good. At mid night he became restless, and the tube was removed, and he was made to sit np. But ill spite of the diligent efforts made to keep him awake, in about ten minutes his face and hands again began to grow blue and bis pulse rapid ane feeble. The tube was replaced, with the result that his condition immediately changed for the better,
 At 2 :30 a. m. the tube was again re. ! nONdu, Dut OiiGc HlOT6 the S1ue cOlOl made its appearance on the hands anG face. 1t was put back again and kept i'll place until nearly 6 80 o'clock in the morning, when the patient became SC restless that it's removal was neees sity. After this. until o'clock, tht : patient was kept awake by the skipping ; of a towel, for when left alone his res pirations would go down to eight ol ten a minute.
 At ;46 o'clock his respirations were
 16 a minute and his pulse 12o. At the end of five days he was discharged cured. The tube had remained in hours and 16 minutes, during all of which time its use was necessary, for during all oi . that time the patient was quite unable ! to do his own breathing. New York World.
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