Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Introduction Of The Bronchoscope

No one should do bronchoscopy until he is able to expose the ...

Hysteria

This is usually brought on by some excessive strain upon the b...

Bowels Lax

A teaspoonful of lemon juice (freshly expressed), along with h...

Punctures Case V

Mr. Cocking's son, aged 12, received a stab in the palm of th...

Cold In The Head

Infants often are prevented sucking by this form of cold closi...

Symptomatology And Treatment Of Chronic Valvular Lesions

Before discussing the treatment of broken compensation in gen...

Acetic Acid

Brown recommends diluted _Acetic Acid_ as a specific against ...

Nerves Troubled

Often a state of the nerves exists, without any apparent unhea...

Balsamo

One of the most notorious charlatans of the eighteenth centur...

Baths

During rheumatism the peripheral blood vessels are generally ...

Pathology

If the foreign body completely obstructs a main bronchus, pr...

Ulcers Case Xxx

C. Cocking, aged 17, has an ulcer of the size of half-a-crown...

Heat And Weakness

We have over and over again shown in these papers how heat pas...

Dysentery

Treat exactly as in acute diarrh[oe]a, except that P. P. shou...

Contrariness

I KNOW a woman who says that if she wants to get her ...

Batteries

The simplest, best, and safest source of current is a double...

Eyes Inflamed With General Eruptions Over The Body

In some cases the eye trouble is only a part of a general skin...

Precautions To Be Observed

As long as compensation is complete, there are no medication ...

Paroxysm Drugs

The part the nervous system plays in this paroxysm is shown b...

Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus

1. The time of inhalation of a foreign body may be unknown ...



Contraindications





Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

There is no absolute contraindication to careful
esophagoscopy for the removal of foreign bodies, even in the presence
of aneurism, serious cardiovascular disease, hypertension or the like,
although these conditions would render the procedure inadvisable.
Should the patient be in bad condition from previous ill-advised or
blind attempts at extraction, endoscopy should be delayed until the
traumatic esophagitis has subsided and the general state improved. It
is rarely the foreign body itself which is producing these symptoms,
and the removal of the object will not cause their immediate
subsidence; while the passage of the tube through the lacerated,
infected, and inflamed esophagus might further harm the patient.
Moreover, the foreign body will be difficult to find and to remove
from the edematous and bleeding folds, and the risk of following a
false passage into the mediastinum or overriding the foreign body is
great. Water starvation should be relieved by means of proctoclysis
and hypodermoclysis before endoscopy is done. The esophagitis is best
treated by placing dry on the tongue at four-hour intervals the
following powder:
Rx. Anesthesin...gramme 0.12
Bismuth subnitrate...gramme 0.6
Calomel, gramme 0.006 to 0.003 may be added to each powder for a few
doses to increase the antiseptic effect. If the patient can swallow
liquids it is best to wait one week from the time of the last attempt
at removal before any endoscopy for extraction be done. This will give
time for nature to repair the damage and render the removal of the
object more certain and less hazardous. Perforation of the esophagus
by the foreign body, or by blind instrumentation, is a
contraindication to esophagoscopy. It is manifested by such signs as
subcutaneous emphysema, swelling of the neck, fever, irritability,
increase in pulsatory and respiratory rates, and pain in the neck or
chest. Gaseous emphysema is present in some cases, and denotes a
dangerous infection. Esophagoscopy should be postponed and the
treatment mentioned at the end of this chapter instituted. After the
subsidence of all symptoms other than esophageal, esophagoscopy may be
done safely. Pleural perforation is manifested by the usual signs of
pneumothorax, and will be demonstrated in the roentgenogram.





Next: Esophagoscopic Extraction Of Foreign Bodies

Previous: Indications



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 1082