|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesNostrils The
The disease called Polypus, affecting the mouth or nostril wit...
Temperature Of The Water Double Sheet Changing Sheet
The water for the wet-sheet pack, in this violent form, ought...
SUPPOSE your husband got impatient and annoyed with y...
Length Of Bath
Although the temperature, in sthenic cases, should be a littl...
Fever Delirium In
See Delirium. ...
After a fright, or some very trying experience, some part of t...
Memory Loss Of
A more or less complete suspension of this faculty is a not un...
Finding Your Ideal Dietary
Anyone that is genuinely interested in having the best possib...
A NURSE who had been only a few weeks in the hospital...
The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae
The order in which the herniary bowel takes its investments f...
See Nostrils. ...
The term "simple dilatation" may be applied to the dilatation...
Is Physical Culture Good For Girls?
A NUMBER of women were watching a game of basket-ball...
Declining Limb A
See Limbs, Drawn up. ...
Pulmonary Insufficiency Pulmonary Regurgitation
If this rare condition occurs, it is probably congenital. A ...
(See Blood, Purifying; Sores). ...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
Continued coldness of the feet gives rise to many more serious...
Let us suppose a swelling appears on some part of the body or ...
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