Medical ArticlesVitamins For Young Persons And Children
Young healthy people from weaning through their thirties shou...
Other Sequels Dropsy &c
Beside the ulceration of glands and deafness, some of the seq...
See Head, Soaping. ...
In all fevers, to cool down the excessive heat of the patient ...
Metallo-therapy has been defined as a mode of treating vari...
If pneumonia or gonorrhea is supposed to be the cause of the ...
Biliary Calculi Gravel In Liver
Take A C current, strong as can be borne; and treat the infla...
Towards The End Of The Period Of Efflorescence When The Rash
declines, fades, disappears, and the skin begins to peal off, a...
Urticaria Zoster Rubeola
_Urticaria_, _Zoster_ and _Rubeola_, are treated in the same ...
A large, soft, fleshy tumour is usually simply an accumulation...
Anomalies Of The Tracheobronchial Tree
Tracheobronchial anomalies are relatively rare. Congenital e...
The Sixth Sense. Though we usually speak of having five sens...
Before Perspiration Comes On There Is A Little More Excitement For
a few minutes (41), which must not induce the friends of the pa...
are the following: Absence of internal inflammation; a bright...
Lungs Inflammation Of The
This is a common trouble in our climate, and, fortunately, one...
Disturbances Of The Heart In General
Of prime importance in the treatment of diseases of the hea...
In spite of the fact that a large number of men today do not ...
Biscuits And Water
The biscuits referred to are manufactured in Saltcoats.[A] The...
A very useful and comparatively safe method is illustrated i...
Mineral Acids And Glacial Acetic
If any neutralising agent, such, e.g., as lime, chalk, soda, o...
Direct Laryngoscopy Adult Patient
Category: DIRECT LARYNGOSCOPY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Before starting, every detail
in regard to instrumental equipment and operating room assistants,
(including an assistant to hold the arms and legs of the patient) must
be complete. Preparation of the patient and the technic of local
anesthesia have been discussed in their respective chapters. The
dorsally recumbent patient is draped with (not pinned in) a sterile
sheet. The head, covered by sterile towels, is elevated, and slight
extension is made at the occipitoatloid joint by the left hand of the
first assistant. The bite block placed on the assistant's right thumb
is inserted into the left angle of the patient's open mouth (see Fig.
The laryngoscope must always and invariably be held in the left hand,
and in such a manner that the greatest amount of traction is made at
the swell of the horizontal bar of the handle, rather than on the
The right hand is then free for the manipulation of forceps, and the
insertion of the bronchoscope or other instrument. During
introduction, the fingers of the right hand retract the upper lip so
as to prevent its being pinched between the laryngoscope and the
teeth. The introduction of the direct laryngoscope and exposure of the
larynx is best described in two stages.
1. Exposure and identification of the epiglottis.
2. Elevation of the epiglottis and all the tissues attached to the
hyoid bone, so as to expose the larynx to direct view.
Next: First Stage
Previous: Instructions To The Patient