InformationalPrivacy
| you live so far away from me,fate brought you into my world,and then one night your eyes were burning through my soul,now i can't go home anymore...that night you lay there beside me,you whispered softly in my ear,you said that you ... Read more of Lifeline at Sings.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Search |
Medical ArticlesThe Development Of AllergiesThere are three ways a body can become allergic. (1) It can h... Introduction Of The Esophagoscope The esophagoscope is to be passed only with ocular guidance, ... Where Our Drinking Water Comes From Water Contained in our Food is Pure. Seeing that five-sixths ... Polypus See Nostrils. ... Mineral Acids In Case Of Severe Sore-throat In case the throat be very troublesome, there cannot be any o... Diets To Heal The Critically Ill A critically ill person is someone who could expire at any mo... The Human Comedy I know most of my readers have been heavily indoctrinated abo... Notes On Nursing Tracheotomized Patients Bedside tray should contain: Duplicate cannula Scalpel ... Treatment Of Scarlatina Simplex Or Simple Scarlet-fever _Scarlatina simplex_, or _simple scarlet-fever_ (9), without ... Pleurisy The pleura is the tender double web, or membrane, which lines ... Measles This is a contagious disease, and always begins with symptoms... Tobacco In spite of the fact that a large number of men today do not ... Blood Pressure And Insurance An epitome of the consensus of opinion of the risk of accepti... Treatment The present 100 per cent mortality in cancer of the esophagu... Calendula is applied to wounds, _incised_ and _lacerated_, promoting he... Breathing And Bronchia The bronchia are the branching small tubes which lead from the... Period Of Eruption Or Appearing Of The Rash Commonly, on the second day, towards evening, sometimes on th... Chloral Emetic; warm coffee, and even an enema of coffee. Artificial r... Foreign Bodies In The Bronchi For Prolonged Periods The sojourn of an inorganic foreign body in the bronchus for ... Rest In Sleep HOW do we misuse our nervous force? First, let us con... |
Choice Of Time To Do Bronchoscopy For Foreign BodyCategory: 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
Viewed 477 |
||||||||||||||||||||
