A woman visitor to the city entered a taxicab. No sooner was the door closed than the car leaped forward violently, and afterward went racing wildly along the street, narrowly missing collision with innumerable things. The passenger, naturally ... Read more of Beginners at Free Jokes.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Sick Headache

See Headache. ...

Abscess

Let us suppose a swelling appears on some part of the body or ...

A Healthy Colon

From my point of view the most amazing part of this whole exp...

Removal Of Foreign Bodies From The Larynx

Symptoms and Diagnosis.--The history of a sudden choking atta...

Imaginary Vacations

ONCE a young woman who had very hard work to do day a...

Diet

I have little to say with regard to _diet_, at least to physi...

Sudden Invasion Of The Nervous Centres

Of the different forms of scarlatina maligna the most dangero...

The Temperature Of The Room However Should Be A Few Degrees

higher than in scarlatina, as none of these other eruptive dise...

Nature's Teaching

NATURE is not only our one guide in the matter of phy...

Teething Of Children

Affections arising from teething of children, are often of a ...

Fruits And Vegetables

The Special Uses of Fruits and Vegetables. We come now to t...

Pneumonia

Its Cause and Prevention. The other great disease of the lung...

Treatment Of Scarlatina Simplex Or Simple Scarlet-fever

_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...

Bowels Lax

A teaspoonful of lemon juice (freshly expressed), along with h...

Elbow Joint

See Armpit Swelling and Bone. ...

Foods For Monodiet, Juice Or Broth Fasting

zucchini, garlic, onion, green beans, kale, celery, beet gree...

Fevers

Intermittent Fever, Ague or Chill Fever. This comes on wit...

The Heart In Pneumonia

As pneumonia heads the list of the causes of death in this co...

Resume Of Emergency Tracheotomy

The following notes should be memorized. 1. Essentials: Kn...

Symptoms

In hypertension, as long as the heart, which is probably hyp...



Bronchial Aspiration





Category: TRACHEOTOMY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

As mentioned above, bronchial aspiration is
often necessary. When the patient is unable to get up secretions, he
will, as demonstrated by the author many years ago, drown in his own
secretions. In some cases bronchoscopic aspiration is required
(Peroral Endoscopy, p. 483). Occasionally, very thick secretions will
require removal with forceps. Pus may become very thick and gummy from
the administration of morphin. Opiates do not lessen pus formation,
but they do lessen the normal secretions that ordinarily increase the
quantity and fluidity of the pus. When to this is added the
dessicating effect of the air inhaled through the cannula, unmoistened
by the upper air-passages, the secretions may be so thick as to form
crusts and plugs that are equivalent to foreign bodies and require
removal with forceps. Diphtheritic membrane in the trachea may require
removal with bronchoscope and forceps. Thinner secretions may be
removed by sponge-pumping. In most cases, however, secretions can be
brought up through an aspirating tube, connected to a bronchoscopic
aspirating syringe (Fig. 11), an ordinary aspirating bottle, or
preferably, a mechanical aspirator such as that shown in Fig. 12. In
this, combined with bronchoscopic oxygen insuflation (q.v.), we have a
life-saving measure of the highest efficiency in cases of poisoning by
chlorine and other irritant and asphyxiating gases. An aspirating tube
for insertion into the deeper air passages should be of copper, so
that it can be bent to the proper curve to reach into the various
parts of the tracheobronchial tree, and it should have a removable
copper-wire core to prevent kinking, and collapse of the lumen. The
distal end should be thickened, and also perforated at the sides, to
prevent drawing-in of the mucosa and trauma thereto. A rubber tube may
be used, but is not so satisfactory. The one shown in Fig. 10 I had
made by Mr. Pilling, and it has proved very satisfactory.





Next: Decannulation

Previous: Emergency Tracheotomy



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1052