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Is simply an inflammation due to impurity of the blood. These ...
Technic Of Laryngeal Operations
Preparation of the patient and anesthesia have been mentione...
I KNEW an old German--a wonderful teacher of the spea...
Where The Temperature Is Too Low That Is Below 98-2/5 Deg
rub all over with warm olive oil, and clothe in good soft flan...
Breathing In Going Uphill
See Breath, and Nerve. British Cholera is to a certain ext...
Demonstrations Of The Origin And Progress Of Inguinal Herniae In General
PLATE 41, Fig. 1.--When the serous spermatic tube is oblitera...
Sprains Or Racks
A sprain is usually the result of some involuntary stress comi...
In this trouble there is indicated a failure somewhere of the ...
The first sign of such an illness is a brief and slight attack...
See Child-bearing. ...
Often, in the young, the bones are so soft that they bend more...
Some have a predisposition to this most painful disease, and r...
Children In Fever
Fevered children, whether in any actual fever, as scarlet, typ...
Punctures Case Iv
The present case is somewhat more severe than those which hav...
Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should ...
Training For Motion
"IN every new movement, in every unknown attitude nee...
The Curative Influence Of The Imagination
At the present day the remarkable benefit which often resul...
Diabetes A Kidney Disease
This disease occurs in two forms--diabetes insipidus and diab...
Often in the case of delicate infants or children, the bones o...
This is one of the most difficult of diseases to control by a...
Category: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Autodrownage is the name given by the author to the
drowning of the patient in his own secretions. Tracheobronchial
secretions in excess of the amount required to moisten the inspired
air, become, in certain cases, a mechanical menace to life, unless
removed. The cough reflex, forced expiration, and ciliary action,
normally remove the excess. When these mechanisms are impaired, as in
profound asthenia, laryngeal paralysis, laryngeal or tracheal
stenosis, etc.; and especially when in addition to a mild degree of
glottic stenosis or impaired laryngeal mobility, the secretions become
excessive, the accumulation may literally drown the patient in his own
secretions. This is illustrated frequently in influenza and arachidic
bronchitis. Infants cannot expectorate, and their cough reflex is
exceedingly ineffective in raising secretion to the pharynx;
furthermore they are easily exhausted by bechic efforts; so that age
may be cited as one of the most frequent etiologic factors in the
condition of autodrownage. Bronchoscopic sponge-pumping (q.v.) and
bronchoscopic aspiration are quite efficient and can save any patient
not afflicted with conditions that are fatal by other pathologic
Next: Lues Of The Tracheobronchial Tree