|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesCroup Less Serious Form
The less serious croup proceeds from a nervous closing of the ...
There is no absolute contraindication to careful esophagosco...
Ankle Twisted Or Crushed
Place the foot as soon as possible in warm water, as hot as ca...
Bronchoscopic Appearances In Disease
The first look should note the color of the bronchial mucosa...
Mechanical Effect Of Each Pole
The mechanical effect of the forward end of the current, or t...
This is usually of traumatic or cauterant origin. If severe o...
Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by...
Stage I Entering The Right Pyriform Sinus
The operator standing (as in Fig. 66), inserts the esophagos...
(_Ague in the breast--Inflamed breast_.) This is a disease...
The Dissection Of Femoral Hernia And The Seat Of Stricture
Whilst all forms of inguinal herniae escape from the abdomen ...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
Rules For The Application Of Water In Typhoid Cases
As a general rule, in typhoid cases, bathing should form one ...
Site Of Lodgement
Almost all foreign bodies are arrested in the cervical esoph...
These are of two kinds, the one purely imaginary, the other wh...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
The points to be gained are, to reduce the action of the amat...
ROBERT FLUDD, surnamed "the Searcher," an English physician, ...
Training For Motion
"IN every new movement, in every unknown attitude nee...
The Surgical Dissection Of The Subclavian And Carotid Regions The Relative Anatomy Of Their Contents
A perfect knowledge of the relative anatomy of any of the s...
The surface of the body should be kept clean, as far as possi...
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