There was an old fellow named Green, Who grew so abnormally lean, And flat, and compressed, That his back touched his chest, And sideways he couldn't be seen. There was a young lady of Lynn, Who was so excessively th... Read more of THIN PEOPLE at Free Jokes.caInformational Site Network Informational
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Weaning

Many of the troubles which come in this process arise simply f...

Eyes Danger To Sight Of

Where inflammation has gone so far as to lead to suppuration, ...

Penetrating Projectiles

Foreign bodies that have penetrated the chest wall and lodge...

Diets To Heal The Critically Ill

A critically ill person is someone who could expire at any mo...

Deviation Of The Esophagus

Deviation of the esophagus may be marked in the presence of a...

Diet For The Chronically Ill

The chronically ill person has a long-term degenerative con...

Night Sweats

This distressing symptom, which accompanies various illnesses,...

Biliary Calculi Gravel In Liver

Take A C current, strong as can be borne; and treat the infla...

Extraction Of Foreign Bodies From The Strictured Esophagus

Foreign bodies of relatively small size will lodge in a stri...

Night Coughs

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Hair Coming Off

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Gassner

JOHANN JOSEPH GASSNER, who was regarded as a thaumaturge by h...

Direction Of The Esophagus

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Want Of Water

One of the obstacles is the _want of a sufficient quantity of...

The Teeth The Ivory Keepers Of The Gate

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Nicotine (tobacco)

Emetic; stimulate and keep warm; keep patient lying down. ...

Coronary Sclerosis

While disease of the coronary arteries may occur without ge...

Diet For The Acutely Ill

The acutely ill person experiences occasional attacks of dist...

The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves

When the neck is extended in surgical position, as seen in Pl...

Inflamed Eyes

If the disease be recent and acute, (but not infectious), as ...



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.





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