VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Children's Nerves

The nervous system of children is often damaged by shock or fr...

Bronchial Aspiration

As mentioned above, bronchial aspiration is often necessary....

Other Kinds Of Cancer

There seem to be many other kinds of cancer, at least if you ...

The Nose

How the Nose is Made. The nose began as a pair of little puck...

Stage I Entering The Right Pyriform Sinus

The operator standing (as in Fig. 66), inserts the esophagos...

Strangulation Or Hanging

Often accidentally caused in children or intoxicated persons. ...

Bromids And Chloral

If there is much restlessness and the circulation is good, th...

Diphtheria

The most striking symptom of diphtheria is the growth of a sub...

Additional Rules For The Treatment Of Eruptive Diseases

In all these eruptive diseases, especially small-pox, all I h...

Enlargement Or Ossification Of The Heart

Treat these two affections in the same way. Take the A D curr...

Poultice Bran

See Bran Poultice. ...

How To Conquer Consumption

Different Forms of Tuberculosis. The terrible disease tubercu...

Instructions To The Patient

Before beginning endoscopy the patient should be told that h...

Simple Hypertrophy

Like any other muscular tissue, the heart hypertrophies whe...

The Dissection Of Femoral Hernia And The Seat Of Stricture

Whilst all forms of inguinal herniae escape from the abdomen ...

What Keeps Us Alive

The Energy in Food and Fuel. The first question that arises i...

Conclusive Remarks Obstacles

Before concluding my article, I shall attempt to remove a few...

Fever Delirium In

See Delirium. ...

Baths For Head

In many cases of indigestion and brain exhaustion head-baths a...

The Central Point Of The Circuit

The central point of the circuit--that point which divides be...



Choice Of Time To Do Bronchoscopy For Foreign Body





Category: FOREIGN BODIES IN THE LARYNX AND TRACHEOBRONCHIAL TREE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The difficulties of removal usually increase from the time of aspiration
of the object. It tends to work downward and outward, while the mucosa
becomes edematous, partly closing over the foreign body, and even
completely obliterating the lumen of smaller bronchi. Later,
granulation tissue and the formation of stricture further hide the
object. The patient's health deteriorates with the onset of pulmonary
pathology, and renders him a less favorable subject for bronchoscopy.
Organic foreign bodies, which produce early and intense inflammatory
reaction and are liable to swell, call for prompt bronchoscopy. When a
bronchus is completely obstructed by the bulk of the foreign body
itself immediate removal is urgently demanded to prevent serious lung
changes, resulting from atelectasis and want of drainage. In short,
removal of the foreign body should be accomplished as soon as possible
after its entrance. This, however, does not justify hasty,
ill-planned, and poorly equipped bronchoscopy, which in most cases is
doomed to failure in removal of the object. The bronchoscopist should
not permit himself to be stampeded into a bronchoscopy late at night,
when he is fatigued after a hard day's work.

Bronchoscopic finding of a foreign body is not especially difficult
if the aspiration has been recent. If secondary processes have
developed, or the object be small and in a bronchus too small to admit
the tube-mouth, considerable experience may be necessary to discover
it. There is usually inflammatory reaction around the orifice of the
invaded bronchus, which in a measure serves to localize the intruder.
We must not forget, however, that objects may have moved to another
location, and also that the irritation may have been the result of
previous efforts at removal. Care must be exercised not to mistake the
sharp, shining, interbronchial spurs for bright thin objects like new
pins just aspirated; after a few days pins become blackened. If these
spurs be torn pneumothorax may ensue. If a number of small bronchi are
to be searched, the bronchoscope must be brought into the line of the
axis of the bronchus to be examined, and any intervening tissue gently
pushed aside with the lip of the bronchoscope. Blind probing for
exploration is very dangerous unless carefully done. The straight
forceps, introduced closed, form the best probe and are ready for
grasping if the object is felt. Once the bronchoscope has been
introduced, it should not be withdrawn until the procedure is
completed. The light carrier alone may be removed from its canal if
the illumination be faulty.





Next: Complications And After-effects Of Bronchoscopy

Previous: Site Of Lodgment



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1024