See Consumption. ...
Vitamins For Young Persons And Children
Young healthy people from weaning through their thirties shou...
This produces such serious deformity, and in many ways so inte...
Chloroform Or Ether (inhaled)
Fresh air. Pull tongue forward, and begin artificial respirati...
Mild Reaction Erethic
If the poison is not virulent, and the body of the patient in...
Difficulties Of Esophagoscopy
The beginner may find the esophagoscope seemingly rigidly fi...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
After a fall from a height, where there is no apparent outward...
Extraction Of Foreign Bodies From The Strictured Esophagus
Foreign bodies of relatively small size will lodge in a stri...
Ulcers Case Xxii
J. Copeland, blacksmith, aged 38, came to me with many deep ...
In cases not demonstrably tuberculous, hemoptysis may requir...
acts favorably on cancers, and is a specific when applied to ...
See Fever, Typhoid. ...
Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation
When the patient is through the first part of the period of ...
Spine Weakness Of The
See Children's Healthy Growth. ...
Philosophy Of Disease And Cure
In every part of the animal economy, polar derangements in th...
For slight bruises, such as children frequently get by falling...
This is an eruption on the skin, often coming suddenly and goi...
The simplest, best, and safest source of current is a double...
Racks From Lifting
See Muscular Pains; Sprains. ...
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