|That houses are haunted and apparitions frequently seen therein are pretty well established facts. The preceding chapters have dealt with this aspect of the subject, and, in view of the weight of evidence to prove the truth of the stories tol... Read more of Haunted Places at Scary Stories.ca|| Informational|
Medical ArticlesPhysical Care
REST, fresh air, exercise, and nourishment, enough of each in...
The first sign of such an illness is a brief and slight attack...
Generally the tongue will tell whether the stomach is ulcerate...
The Human Comedy
I know most of my readers have been heavily indoctrinated abo...
Rheumatism is the cause of most instances of cardiac disease ...
Hepatitis Inflammation Of Liver
Use the B D current, with what force the patient can bear. Pl...
Take the B D current, medium force. If the paralysis be in a ...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
Avoidance of the causes of disease requires some idea of the d...
The dilatation of cicatricial stenosis of the esophagus can ...
From The Hygienic Dictionary
Doctors.  In the matter of disease and healing, the peopl...
Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely ...
Eyes Spots On
These spots are of two different kinds, and yet they are very ...
Anesthesia For Peroral Endoscopy
A dyspneic patient should never be given a general anesthetic...
Copy Of Certificate
These may Inform all whom it might Concern, that Mr. J...
(See Blood, Purifying; Sores). ...
A very useful and comparatively safe method is illustrated i...
The remedy which has attracted and still attracts in a very h...
Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. H...
Varix And Angioma Of The Esophagus
These lesions are sometimes the cause of esophageal hemorrhag...
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.
Previous: Emergency Tracheotomy