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Medical ArticlesThe Blood-mesh Of The SkinThe Blood Vessels under the Skin. Not merely the nails and th... Fever Rheumatic This results from severe damp chills, usually following exhaus... From The Hygienic Dictionary Doctors. [1] In the matter of disease and healing, the peopl... Scurvy Is a disease springing from disordered digestion, and caused s... Scarlatina Sine Exanthemate There are also mild cases of scarlet-fever, when little or no... Angioneurotic Edema Angioneurotic edema involving the esophagus, may produce int... Styptic Charms Fancy can save or kill; it hath closed up wounds, when t... About Christmas THERE was once a family who had a guest staying with ... Paralysis Of The Esophagus The passage of liquids and solids through the esophagus is a ... Diagnosis If a more malignant form of endocarditis develops on a mild ... Mouth-gag Wide gagging prevents proper exposure of the larynx by forci... Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi Should _putrid symptoms_ make their appearance (21), I would ... Theory Of Man Let the question now be raised--What is man? The answer will ... The Woman At The Next Desk IT may be the woman sewing in the next chair; it may ... Laryngoscopes The regular type of laryngoscope shown in Fig. I (A, B, C) i... Eyes Cataract On This disease has been arrested, and in earlier stages even cur... Continuation Of Packs Convalescence Whether the eruption appear or not, the packs should be conti... Air Bath This may with advantage to the health of the skin and body in ... Removal Of Double Pointed Tacks If the tack or staple be small, and lodged in a relatively l... Throat Sore (clergyman's) Those who are in the habit of using their voice much should be... |
Care Of InstrumentsCategory: ANATOMY OF LARYNX, TRACHEA, BRONCHI AND ESOPHAGUS, ENDOSCOPICALLY CONSIDERED Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery The endoscopist must either personally care for his instruments, or have an instrument nurse in his own employ, for if they are intrusted to the general operating room routine he will find that small parts will be lost; blades of forceps bent, broken, or rusted; tubes dinged; drainage canals choked with blood or secretions which have been coagulated by boiling, and electric attachments rendered unstable or unservicable, by boiling, etc. The tubes should be cleansed by forcing cold water through the drainage canals with the aspirating syringe, then dried by forcing pipe-cleaning worsted-covered wire through the light and drainage canals. Gauze on a sponge carrier is used to clean the main canal. Forceps stylets should be removed from their cannulae, and the cannulae cleansed with cold water, then dried and oiled with the pipe-cleaning material. The stylet should have any rough places smoothed with fine emery cloth and its blades carefully inspected; the parts are then oiled and reassembled. Nickle plating on the tubes is apt to peel and these scales have sharp, cutting edges which may injure the mucosa. All tubes, therefore, should be unplated. Rough places on the tubes should be smoothed with the finest emery cloth, or, better, on a buffing wheel. The dry cells in the battery should be renewed about every 4 months whether used or not. Lamps, light carriers, and cords, after cleansing, are wiped with 95 per cent alcohol, and the light-carriers with the lamps in place are kept in a continuous sterilization box containing formaldehyde pastilles. It is of the utmost importance that instruments be always put away in perfect order. Not only are cleaning and oiling imperative, but any needed repairs should be attended to at once. Otherwise it will be inevitable that when gotten out in an emergency they will fail. In general surgery, a spoon will serve for a retractor and good work can be done with makeshifts; but in endoscopy, especially in the small, delicate, natural passages of children, the handicap of a defective or insufficient armamentarium may make all the difference between a success and a fatal failure. A bronchoscopic clinic should at all times be in the same state of preparedness for emergency as is everywhere required of a fire-engine house. [PLATE I--A WORKING SET OF THE AUTHOR'S ENDOSCOPIC TUBES FOR LARYNGOSCOPY, BRONCHOSCOPY, ESOPHAGOSCOPY, AND GASTROSCOPY: A, Adult's laryngoscope; B, child's laryngoscope; C, anterior commissure laryngoscope; D, esophageal speculum, child's size; E, esophageal speculum, adult's size; F, bronchoscope, infant's size, 4 mm. X 30 cm.; G, bronchoscope, child's size, 5 mm. X 30 cm.; H, aspirating bronchoscope for adults, 7 mm. X 40 cm.; I, bronchoscope, adolescent's size, 7 mm. x 40 cm., used also for the deeper bronchi of adults; J, bronchoscope, adult size, g mm. x 40 cm.; K, child's size esophagoscope, 7 mm. X 45 cm.; L, adult's size esophagoscope, full lumen construction, 9 mm. x 45 cm.; M, adult's size gastroscope. C, I, and E are also hypopharyngoscopes. C is an excellent esophageal speculum for children, and a longer model is made for adults. If the utmost economy must be practised D, E, and M may be omitted. The balance of the instruments are indispensable if adults and children are to be dealt with. The instruments are made by Charles J. Pilling & Sons, Philadelphia.] Next: Anatomy Of Larynx Trachea Bronchi And Esophagus Endoscopically Considered Previous: List Of Instruments
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