|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesThe Nerves In The Skin
How We Tell Things from Touch, and Feel Heat and Cold and Pai...
Bronchoscopic Appearances In Disease
The first look should note the color of the bronchial mucosa...
This disease generally comes on at night, in hot weather, and...
Extraction Of Open Safety-pins From The Esophagus
An open safety pin with the point down offers no particular ...
Stabbing of the cricothyroid membrane, or an attempted stabb...
To Prevent Scarlet Fever
Give Belladonna at the 3d attenuation, three to six pellets, ...
Biscuits And Water
The biscuits referred to are manufactured in Saltcoats.[A] The...
Stings Of Insects
The effect produced by the sting of Bees, Wasps, and Hornets ...
Auricular Fibrillation Treatment
The condition may be stopped by relieving the heart and circu...
There are gradations of fasting measures ranging from rigorou...
This is a disease of the skin, producing redness, burning and...
Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever
In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi...
Symptomatology And Treatment Of Chronic Valvular Lesions
Before discussing the treatment of broken compensation in gen...
Priessnitz's Method The Wet-sheet-pack
a remedy which, alone, is worth the whole antiphlogistic, dia...
Perversions In The Guidance Of The Body
SO evident are the various, the numberless perversion...
Other Kinds Of Cancer
There seem to be many other kinds of cancer, at least if you ...
Metallo-therapy has been defined as a mode of treating vari...
Mineral Acids In Case Of Severe Sore-throat
In case the throat be very troublesome, there cannot be any o...
If the case be recent, take the B D current; if old, take A D...
The Real Truth About Salt And Sugar
First, let me remind certain food religionists: salt is salt ...
Difficulties In The Introduction Of The Bronchoscope
Category: INTRODUCTION OF THE BRONCHOSCOPE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
may enter the esophagus instead of the trachea: this might be
a dangerous accident in a dyspneic case, for the tube could, by
pressure on the trachea, cause respiratory arrest. A bronchoscope thus
misplaced should be resterilized before introducing it into the air
passages, for while the lower air passages are usually free from
bacteria, the esophagus is a septic canal. If the given technic is
carefully carried out the bronchoscope will not be contaminated with
mouth secretions. The trachea is recognized as an open tube, with
whitish rings, and the expiratory blast can be felt and tubular
breathing heard; while if by mistake the bronchoscope has entered the
gullet it will be observed that the cervical esophagus has collapsed
walls. A puff of air may be felt and a fluttering sound heard when the
tube is in the esophagus, but these lack the intensity of the tracheal
blast. Usually a free flow of secretion is met with in the esophagus.
In diseased states the tracheal rings may not be visible because of
swollen mucosa, or the trachea itself may be in partial collapse from
external pressure. The true expiratory blast will, however, always be
recognized when the tube is in the trachea. Wide gagging of the mouth
renders exposure of the larynx difficult.
[FIG. 62.--Insertion of the bronchoscope. Note direction of the
trachea as indicated by the bronchoscope. Note that the patient's head
is held above the level of the table. The assistant's left hand should
be at the patient's mouth holding the bite-block. This is removed and
the assistant is on the wrong side of the table in the illustration in
order not to hide the position of the operator's hands. Note the
handle of the bronchoscope is to the right.]
[FIG. 63.--The heavy laryngoscope has been removed leaving the light
bronchoscope in position. The operator is inserting forceps. Note how
the left hand of the operator holds the tube lightly between the thumb
and first two fingers of the left hand, while the last two fingers are
hooked over the upper teeth of the patient anchoring the tube to
prevent it moving in or out or otherwise changing the relation of the
distal tube-mouth to a foreign body or a growth while forceps are
being used. Thus, also, any desired location of the tube can be
maintained in systematic exploration. The assistant's left hand is
dropped out of the way to show the operator's method. The assistant
during bronchoscopy holds the bite-block like a thimble on the index
finger of the left hand, and the assistant should be on the right side
of the patient. He is here put wrongly on the left side so as not to
hide the instruments and the manner of holding them.]
Next: Examination Of The Trachea And Bronchi
Previous: Technic Of Bronchoscopy