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Emetic, white of egg to follow. ...
Division Of The Process Of The Disease Into Periods
Its course is commonly divided into four distinct periods, vi...
The Anti-gastric Method
consisting in the free use of emetics or purgatives, has been...
Physical Signs In Esophageal Foreign Body
There are no constant physical signs associated with uncompli...
Our Relations With Others
EVERY one will admit that our relations to others sho...
The development of permanent injury to one or more valves o...
This peculiar burning and distressed feeling at the stomach d...
Accidents And Emergencies
Ordinarily, Accidents are not Serious. Accidents will happe...
Neutralise by chalk or lime water, but not by soda or any alka...
Importance of the Muscles. It wouldn't be of much use to sm...
Impossibility Of Answering For The Issue Of Every Typhoid Case
Although a _typhoid character_ of scarlatina will rarely set ...
The Blood-mesh Of The Skin
The Blood Vessels under the Skin. Not merely the nails and th...
Auricular Fibrillation Occurrence
This condition of auricular fibrillation occurs occasionally ...
Ulcers Case Xxvii
Mrs. Wakefield, aged 36, had an extensive ulceration with exc...
Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness an...
This is usually brought on by some excessive strain upon the b...
These begin like warts, and in the earlier stages poulticing a...
Bruises Case Xvii
An old man, aged 60, received a bruise upon the occiput from ...
Where this is advised medically, it is often taken in a manner...
Its Cause and Prevention. The other great disease of the lung...
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.
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