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Nursing Sore Mouth

Sore mouth of nursing women, as the name of the disease indic...

Diet For Middle Age And The Aged

In advancing years when less exercise is, as a rule, taken, a ...


It is essential for the welfare of the patient, especially af...


While the usually thin, watery esophageal and gastric secret...

Perversions In The Guidance Of The Body

SO evident are the various, the numberless perversion...


This disease, or its approach, may be known by several signs: ...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

Veins Swollen

The swelling of veins in the leg is a very common trouble, esp...


Often there follows, after the cure of an inflammatory disease...

Affection Of The Brain

When the _brain_ is affected, the patient suddenly complains ...

Oxalic Acid

Neutralise by chalk or lime water, but not by soda or any alka...

Fall A

After a fall from a height, where there is no apparent outward...

Glands Swollen

This is a very common trouble, especially in the young. To res...

Head Massaging The

This is so important in many cases of neuralgia, headache, and...

The Care Of An Invalid

TO take really good care of one who is ill requires n...

Vital Forces Animal And Vegetable

Upon these points I must be permitted to offer a few words. ...


They ware in their foreheads scrowles of parchment, wher...

To Prevent Small-pox

Use _Macrotin_ 1st night and morning, and if nursing or expos...

The Healing Crisis And Retracing

Certain unpleasant somatics that occur while fasting (or whil...

Teething Of Children

Affections arising from teething of children, are often of a ...

Chronic Stenosis Of The Larynx And Trachea

Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The various forms of laryngeal stenosis for which tracheotomy or
intubation has been performed, and the difficulties encountered in
restoring the natural breathing, may be classified into the following
1. Panic
2. Spasmodic
3. Paralytic
4. Ankylotic (arytenoid)
5. Neoplastic
6. Hyperplastic
7. Cicatricial
(a) Loss of cartilage
(b) Loss of muscular tissue
(c) Fibrous

Panic.--Nothing so terrifies a child as severe dyspnea; and the
memory of previous struggles for air, together with the greater ease
of breathing through the tracheotomic cannula than through even a
normal larynx, incites in some cases so great a degree of fear that it
may properly be called panic, when attempts at decannulation are made.
Crying and possibly glottic spasm increase the difficulties.

Spasmodic stenosis may be associated with panic, or may be excited
by subglottic inflammation. Prolonged wearing of an intubation tube,
by disturbing the normal reciprocal equilibrium of the abductors and
adductors, is one of the chief causes. The treatment for spasmodic
stenosis and panic is similar. The use of a special intubation tube
having a long antero-posterior lumen and a narrow neck, which form
allows greater action of the musculature, has been successful in some
cases. Repeated removal and replacement of the intubation tube when
dyspnea requires it may prove sufficient in the milder cases. Very
rarely a tracheotomy may be required; if so, it should be done low.
The wearing of a tracheotomic cannula permits a restoration of the
muscle balance and a subsidence of the subglottic inflammation.
Corking the cannula with a slotted cork (Fig. 111) will now restore
laryngeal breathing, after which the tracheotomic cannula may be

Next: Plate V Laryngeal And Tracheal Stenoses:

Previous: Notes On Nursing Tracheotomized Patients

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