Clinica I for1111 I 56 1 vision; the extent of any oedema and its position can then be seen and infected material can be easily removed by suction from the oro-pharynx, where it tends to pool in a patient in the Trendelenburg position. There is a theoretical risk that a nasal tube on its way through the pharynx might rupture the abscess. Some anaesthetists have used oral tubes to obviate this risk, but it does not seem to be a problem in practice and the risk can be reduced if the nostril on the opposite side from the quinsy is used for the naso-tracheal tube when possible.Suxamethonium may be used with safety to faciliatate intubation if it is first ascertained that it is possible to inflate the patient manually.There are degrees of severity of quinsies and the individual anaesthetist must decide which is the most suitable method of induction for a particular patient in his hands but, in spite of the fact that forty-three patients were induced with a barbiturate and suxamethonium for intubation without complication in the present series, this should not be regarded as the method of choice.
SutntnaryA review is presented of 114 cases of quinsy tonsillectomy. This shows that this advantageous operation has a low complication rate and is safe in skilled anaesthetic hands. and throat operations in infants 7. BENNETT, J.H. (1943) Anesthetic management for drainage of abscess of the submandibular space. and Laryngology, 68, 3 15. Respiration is one of the most affected physiological functions after thoracotomies. The main * This communication is based on a paper read at the 46th General Scientific Meeting of the Royal Australasian College of Surgeons held at Singapore in May 1973.
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