VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Development Of My Own Constipation

The history of my own constipation, though it especially rela...

Aphorisms

Educate your eye and your fingers. Be sure you are right...

The Tired Emphasis

"I AM so tired, so tired--I go to bed tired, I get up...

Stokes Adams Treatment

The treatment of true Stokes-Adams disease is unsuccessful. I...

Rheumatism Acute Inflammatory

First ascertain if the kidneys be morbidly positive--urine sc...

Underwear

There is a common and very popular error, namely, that of putt...

1 Is Water Applicable In All Typhoid Cases?

The question has been raised, whether in typhoid cases, and i...

Papilloma Forceps

Papillomata do not infiltrate; but superficial repullulation...

Heel Sprained

Often in sprains all attention is given to the bruised and tor...

Seamill Sanatorium And Hydropathic

Very soon after the appearance of these "Papers on Health," th...

Fludd

ROBERT FLUDD, surnamed "the Searcher," an English physician, ...

Action Balance Of

An excellent guide to the proper treatment of any case is to b...

Lacing Tight

This produces such serious deformity, and in many ways so inte...

Tolerance

WHEN we are tolerant as a matter of course, the nervous syste...

Sciatica

This is neuralgia in an ischiatic nerve, commonly the great i...

Temperature Of The Sick-room

The _temperature of the sick-room_ should not be much above 6...

Scarlet-fever Or Scarlatina

is an eruptive fever, produced by a peculiar contagious poiso...

Children's Treatment

This should always be managed so as to soothe and not excite t...

Boils

The following treatment will be found effective to heal less s...

Polarization

It may be proper, in this place, to spend a few words upon el...



Difficulties Of Esophagoscopy





Category: INTRODUCTION OF THE ESOPHAGOSCOPE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The beginner may find the
esophagoscope seemingly rigidly fixed, so that it can be neither
introduced nor withdrawn. This usually results from a wedging of the
tube in the dental angle, and is overcome by a wider opening of the
jaws, or perhaps by easing up of the bite block, but most often by
correcting the position of the patient's head. If the beginner cannot
start the tube into the pyriform sinus in an adult, it is a good plan
to expose the arytenoid eminence with the laryngoscope and then to
insert the 7 mm. esophagoscope into the right pyriform sinus by direct
vision. Passing the cricopharyngeal and hiatal spasmodically
contracted narrowings will prove the most trying part of
esophagoscopy; but with the head properly held, and the tube properly
placed and directed, patient waiting for relaxation of the spasm with
gentle continuous pressure will usually expose the lumen ahead. In his
first few esophagoscopies the novice had best use general anesthesia
to avoid these difficulties and to accustom himself to the esophageal
image. In the first favorable subject--an emaciated individual with no
teeth--esophagoscopy without anesthesia should be tried.

In cases of kyphosis it is a mistake to try to straighten the spine.
The head should be held correspondingly higher at the beginning, and
should be very slowly and cautiously lowered.

Once inserted, the esophagoscope should not be removed until the
completion of the procedure, unless respiratory arrest demands it.
Occasionally in stenotic conditions the light may become covered by
the upwelling of a flood of fluid, and it will be thought the light
has gone out. As soon as the fluid has been aspirated the light will
be found burning as brightly as before. If a lamp should fail it is
unnecessary to remove the tube, as the light carrier and light can be
withdrawn and quickly adjusted. A complete instrument equipment with
proper selection of instruments for the particular case are necessary
for smooth working.





Next: Ballooning Esophagoscopy

Previous: Stage 4 Passing Through The Hiatus Esophageus



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 889