|Some people grow old gracefully, while others fight and scratch the whole way. Andy's wife, refusing to give in to the looks of growing old, goes out and buys a new line of expensive cosmetics guaranteed to make her look years younger. After ... Read more of How old am I? at Free Jokes.ca|| Informational|
Medical ArticlesEsophagoscopy For Foreign Body
In this rapid high tension age the physician should be as ene...
The current is that moving electric essence which traverses t...
They ware in their foreheads scrowles of parchment, wher...
Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely ...
Inflammation Of The Bowels
See Bowels. ...
For slight burns, immerse the injured part in cold water, and ...
Removal Of Open Safety Pins From The Trachea And Bronchi
Removal of a closed safety pin presents no difficulty if it i...
Habit And Nervous Strain
PEOPLE form habits which cause nervous strain. When t...
Stings Of Insects
The effect produced by the sting of Bees, Wasps, and Hornets ...
To Prevent Yellow Fever
Take _Aconite_, _Belladonna_ and _Macrotin_, 1st in rotation ...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Normal Blood Pressure For Adults
Woley [Footnote: Woley, II. P.: The Normal Variation of the S...
Contraindications To Direct Laryngoscopy
There are no absolute contraindications to direct laryngosco...
See Dropsy. ...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Water For Drinking
Every care should be taken to have drinking water absolutely p...
Consumption Prevention Of
This most insidious and deadly disease is caused by a tiny veg...
IT will be plainly seen that this training of the bod...
It has been estimated that 70 per cent of stenoses of the es...
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.