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| The common marbles used by boys everywhere are called mibs, fivers, commies, migs, megs, alleys, and dubs. A very large marble is a bumbo and a very small one a peawee. Glass marbles are called crystals and those made of agate are called reals.... Read more of NAMES OF MARBLES at Games Kids Play.ca | Informational Privacy |
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Medical ArticlesHeadacheThere is a vast variety of ailments associated with what is ca... The Surgical Dissection Of The Superficial Structures Of The Male Perinaeum The median line of the body is marked as the situation where ... Armpit Swelling Often this comes as the result of a chill, or of enfeeblement ... Torpid Liver Take A D or B D current, full medium force. Treat with N. P. ... Onion Cases All too many of my cases are what I privately refer to as oni... Complete Recovery Of The Seriously Ill Its a virtual certainty that to fully recover, a seriously il... Flushings Hot These are often a really serious trouble, especially to women,... Perspiration By this term we mean not only the sensible perspiration which ... What Is It That Makes Me So Nervous? THE two main reasons why women are nervous are, first... Calendula is applied to wounds, _incised_ and _lacerated_, promoting he... Children's Teething See Teething. ... Food In Illness Light, easily digested food is of the first importance in many... Punctures Case Iv The present case is somewhat more severe than those which hav... Caffein Caffein can irritate the heart and cause irregularity and ta... The Surgical Dissection Of The Bend Of The Elbow And The Forearm Showing The Relative Position Of The Arteries Veins And Nerves The farther the surgical region happens to be removed from th... Paralysis Bilateral abductor laryngeal paralysis causes severe stenosi... Temperature Of The Sick-room The _temperature of the sick-room_ should not be much above 6... Spinal Congestion In some cases of this trouble the symptoms are very alarming, ... Amenorrhea Suppressed Menstruation Treat as for chlorosis. But if the case be recent--the effect... Common Colds Take the B D Faradaic current--moderate strength. If the affe... |
Bronchial AspirationCategory: 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
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