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This peculiar burning and distressed feeling at the stomach d...
According to my experience, though this disease may not be en...
Indications For Strychnin
Strychnin is a much overused drug. It is now given for almost...
Rules For Endoscopic Foreign Body Extraction
1. Never endoscope a foreign body case unprepared, with the...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
The Tired Emphasis
"I AM so tired, so tired--I go to bed tired, I get up...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Auricular Fibrillation Pathology
Schoenberg [Footnote: Schoenberg: Frankfurt. Ztschr. f. Patho...
The Circumstances Of Life
IT is not the circumstances of life that trouble or w...
Other Kinds Of Cancer
There seem to be many other kinds of cancer, at least if you ...
Sitting (or Sitz) Bath
This bath, in whatever form administered, is essentially a sit...
Removal Of Foreign Bodies From The Larynx
Symptoms and Diagnosis.--The history of a sudden choking atta...
When the conducting cords are of equal length, as commonly th...
The Temperature Of The Room However Should Be A Few Degrees
higher than in scarlatina, as none of these other eruptive dise...
The Care Of The Heart-pump
The Effect of Work upon the Heart. Whatever else in this body...
How the Nails are Made. Another trade, which our wonderful sk...
The Relative Anatomy Of The Male Pelvic Organs
As the abdomen and pelvis form one general cavity, the organs...
Vegetables Green And Fruit
We would strongly recommend our readers to continually have th...
Inspection of the hypopharynx and upper esophagus is readily...
A snake bite is only one of a large class of injuries which ma...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
No dyspneic patient should be given a general
anesthetic; because any patient dyspneic enough to need a tracheotomy
for dyspnea is depending largely upon the action of the accessory
respiratory muscles. When this action is stopped by beginning
unconsciousness, respiration ceases. If the trachea is not immediately
opened, artificial respiration instituted, and oxygen insufflated, the
patient dies on the table. Skin infiltration along the line of
incision with a very weak cocaine solution (1/10 of 1 per cent),
apothesine (2 per cent), novocaine, Schleich's fluid or other local
anesthetic, suffices to render the operation painless. The deeper
structures have little sensation and do not require infiltration. It
has been advocated that an interannular injection of cocaine solution
with a hypodermic syringe be done just prior to incision of the
trachea for the purpose of preventing cough after the incision of the
trachea and the insertion of the cannula. It would seem, however, that
this introduces the risk of aspiration pneumonia and pulmonary
abscess, by permitting the aspiration and clotting of blood in small
bronchi, followed by subsequent breaking down of the clots. As the
author has so often said, The cough reflex is the watch dog of the
lungs, and if not drugged asleep by local or general anesthesia can
safely be relied upon to prevent all possibility of the blood or the
pus which nearly always is present in acute or chronic conditions
calling for tracheotomy, being aspirated into the deeper air-passages.
Cocaine in any form, by any method, and in any dosage, is dangerous in
very young children.