SERUM THERAPY 105 



loosely filled with gauze soaked in the same solu- 

 tion. The patient ought to be placed at rest in 

 bed in a quiet darkened room, with competent 

 nursing facilities; and should receive sufficient 

 sedatives to control convulsions, together with 

 adequate supply of fluid nourishment and at- 

 tention to the elimination by kidney and bowel. 

 Rectal feeding may be resorted to and, in the 

 nutrient enemata, effective doses of chloral and 

 bromides may be administered at appropriate 

 intervals. Chloral and cannabis indica are also 

 used with good results to afford relief from 

 painful muscular rigidity and convulsions. For 

 rapid action, paraldehyde and ether suspended 

 in saline and administered intravenously may 

 be used. ; 



METHOD OF INTRASPINAL ADMINISTRATION 



The teclmic includes that required for per- 

 forming a lumbar puncture, and the antitoxin is 

 introduced into the spinal canal after the with- 

 drawal of cerebrospinal fluid. 



The patient is first etherized and then placed 

 on the side, with head bent forward and knees 

 drawn up. The skin, in the lumbar region of 

 the back is painted with iodin, or washed with 



