Medical ArticlesAcute Dilatation Of The Stomach
This condition is not well understood, nor is its frequence k...
Tests Of Heart Strength
If both systolic and diastolic blood pressure are taken, and ...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
See Band, Flannel. ...
Auricular Fibrillation Prognosis
The prognosis depends on the condition of the myocardium of t...
Cold Affusions And Rubbing
After the pack, the patient is placed in an empty bathing or ...
Pericarditis Symptoms And Signs
If there is pain or much aching in the cardiac region, it ten...
Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
Physical Signs Of Bronchial Foreign Body
In most cases there will be limitation of expansion on the in...
_Small-pox_, by far the most dangerous of them, has found a b...
Like any other muscular tissue, the heart hypertrophies whe...
Esophageal Foreign Body Symptoms
1. There are no absolutely diagnostic symptoms. 2. Dysph...
Breath And Nerve
Difficult breathing, especially in ascending a hill, is often ...
Foreign Bodies In The Larynx And Tracheobronchial Tree
The protective reflexes preventing the entrance of foreign bo...
If this grain is well grown and thoroughly well cooked, it wil...
For healing wounds, burns, ulcers, irritation of mucous membr...
Why Fuss So Much About What I Eat?
I KNOW a woman who insisted that it was impossible fo...
What Is It That Makes Me So Nervous?
THE two main reasons why women are nervous are, first...
Generally the tongue will tell whether the stomach is ulcerate...
Limb Saving A
The proper growth of the body in any part depends on the power...
Direct Laryngoscopy In Children
Category: DIRECT LARYNGOSCOPY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The epiglottis in children is
usually strongly curled, often omega shaped, and is very elusive and
slippery. The larynx of a child is very freely movable in the neck
during respiration and deglutition, and has a strong tendency to
retreat downward during examination, and thus withdraw the epiglottis
after the arytenoids have been exposed. In following down with the
laryngoscope the speculum is prone to enter the hypopharynx. Lifting
in this location will expose the mouth of the esophagus and shut off
the larynx, and may cause respiratory arrest. Practice, however, will
soon develop a technic and ability to recognize the landmarks in state
of spasm, so that on exposing the approximated arytenoid eminences the
endoscopist will maintain his position and wait for the larynx to
open. The procedure should be done without any form of anesthesia for
the following reasons:
1. Anesthesia is unnecessary.
2. It is extremely dangerous in a dyspneic patient.
3. It is inadmissable in a patient with diphtheria.
4. If anesthesia is to be used, direct laryngoscopy will never reach
its full degree of usefulness, because anesthesia makes a major
procedure out of a minor one.
5. Cocain in children is dangerous, and its application more
annoying than the examination.
Next: Inducing A Child To Open Its Mouth (author's Method)
Previous: Instruments For Direct Laryngoscopy