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| There was once an old sow with three little pigs, and as she had not enough to keep them, she sent them out to seek their fortune. The first that went off met a man with a bundle of straw, and said to him: "Please, man, give me that s... Read more of THE STORY OF THE THREE LITTLE PIGS at Children Stories.ca | Informational Privacy |
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Medical ArticlesLaxativesIf the bowels are known to be in excellent condition and not ... Fruits And Vegetables The Special Uses of Fruits and Vegetables. We come now to t... Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree The difficulties here consist in the liability of crushing or... The Use Of The Brain LET us now consider instances where the brain alone i... Headache This symptom or affection, (if it can be classed as a disease... Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy When taking a specimen the party wall should be inspected by... Forceps Delicacy of touch and manipulation are an absolute necessity... Affection Of The Brain When the _brain_ is affected, the patient suddenly complains ... Operating Room All endoscopic procedures should be performed in a somewhat ... First Stage The spatular end of the laryngoscope is introduced in the ri... Breath And Blood Often difficulty of breathing, especially in close air, mistak... Chronic Esophagitis This is usually a result of stagnation of food or secretion, ... Sciatica This is neuralgia in an ischiatic nerve, commonly the great i... Expectoration What is commonly called a "cough and spit" is sometimes due to... Hemorrhage Take B D current, strong force. Apply P. P. to the open blood... Preparation Of The Patient For Peroral Endoscopy The suggestions of the author in the earlier volumes in regar... Poultice Bran See Bran Poultice. ... Infants' Sleep See Children's Sleep. ... Disorders Of Muscles And Bones The Muscles and Bones Have Few Diseases. Considering how comp... Necessity Of Allaying The Heat The packs and baths should be continued, even when the patien... |
Chronic Stenosis Of The Larynx And TracheaCategory: 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 types: 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 removed. Next: Plate V Laryngeal And Tracheal Stenoses: Previous: Notes On Nursing Tracheotomized Patients
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