Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Amaurosis Paralysis Of The Optic Nerve

Use B D current, moderate force, three or four times, and the...

Opium

As so many times repeated, real pain must be stopped, and mor...

The Distinctive Diagnosis Between External And Internal Inguinal Herniae The Taxis The Seat Of Stricture And The Operation

A comparison of the relative position of these two varieties ...

Cholera Malignant

As in cholera morbus, keep the patient on his back, still as ...

Rheumatism Acute Inflammatory

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

Precautions To Be Observed

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

Inflammation Of The Brain

_Brain Fever._ Though this affection is not strictly what ...

Hepatitis Inflammation Of Liver

Use the B D current, with what force the patient can bear. Pl...

Animal Fats

The Digestibility of Fats. We have now come to the last group...

The Contagion Of Scarlatina Very Active

The _contagion_ of scarlatina is very active, and adheres for...

Beef Tea

It is well to bear in mind that there is scarcely any nourishm...

Heat Internal

There is a usual (normal) temperature in all the blood and tis...

Myocarditis Fibrous Management

The advice he should receive is well understood: to avoid phy...

First Stage

The spatular end of the laryngoscope is introduced in the ri...

Weariness

Where persistent weariness is felt, and the least exertion bri...

What Kind Of Food Should We Eat?

Generally speaking, our Appetites will Guide us. Our whole bo...

The Expletive Method Blood-letting

has been advocated by some of the best authorities, and there...

The Light Reflex On The Forceps

It is often difficult for the beginner to judge to what dept...

Endoscopy In Malignant Disease Of The Larynx

The general surgical rule applying to individuals past middle...

Lungs Congestion Of The

Treatment as below. Read preceding and succeeding articles. ...



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introduced nor withdrawn.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 1294