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This troublesome disease is also known as St. Anthony's Fire, ...
Nourishment Heat In
Heat is absorbed in building up the bodily tissues, and given ...
Lungs Inflammation Of The
This is a common trouble in our climate, and, fortunately, one...
These frequently remain as the so-called dregs of some illness...
The spatular end of the laryngoscope is introduced in the ri...
Vitamins For An Older Healthy Person
Someone who is beyond 35 to 40 years of age should still feel...
Difficulties Of Direct Laryngoscopy
The larynx can be directly exposed in any patient whose mout...
See Towels, Cold Wet. ...
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 ...
The Freedom Of Life
I AM so tired I must give up work," said a young woma...
ADOPTING the phrase of our forefathers, with all its ...
Care Of Instruments
The endoscopist must either personally care for his instrume...
There is a usual (normal) temperature in all the blood and tis...
Enlargement Of Liver
Take A D current, with medium force. Place N. P., some three ...
Length Of Pack
Usually it is time for the patient to come out from his pack,...
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers...
Anesthesia For Peroral Endoscopy
A dyspneic patient should never be given a general anesthetic...
Positive And Negative Manifestations
Acute diseases are to be regarded as electrically positive, a...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
A most effective preventive and cure for this is the inhaling ...
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.
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