VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Pain Severe In Limbs

This is often not due to any trouble in the joint itself, but ...

Anatomy Of Larynx Trachea Bronchi And Esophagus Endoscopically Considered

The larynx is a cartilaginous box, triangular in cross-sectio...

Myocardial Disturbances

While the myocardium is the most important muscle structure...

Hemorrhage

Take B D current, strong force. Apply P. P. to the open blood...

The Lookout Department

Why the Eyes, Ears, and Nose are Near the Mouth. If you had n...

Trismus Lockjaw

For traumatic trismus, use the B D current, of vigorous force...

Fevers

Intermittent Fever, Ague or Chill Fever. This comes on wit...

Breast Swelling In

A blow on the breast, or the drain of nursing a child, along w...

Dyspepsia

This is one of the most difficult of diseases to control by a...

Spinal Congestion

In some cases of this trouble the symptoms are very alarming, ...

Sitz-bath Anchor Of Safety

If there be much delirium, the sitz-bath may be required long...

Malignant Endocarditis Ulcerative Endocarditis

Since we have learned that bacteria are probably at the botto...

Vitamins For An Older Healthy Person

Someone who is beyond 35 to 40 years of age should still feel...

Treatment Of Broken Compensation

The consideration of this subject will include the following ...

Physical Signs Of Tracheal Foreign Body

If fixed in the trachea the only objective sign of foreign bo...

Treatment

The treatment of a suspected coronary sclerosis is the same a...

Children's Dangers

Avoidance of the causes of disease requires some idea of the d...

Pathology

The part of the heart most affected is the part which has the...

Nervous Attacks

What we call, for want of a better name, "nerve force," or "ne...

Of Whitlow

The lunar caustic is very useful in the treatment of this pai...



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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1093