|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Bilateral abductor laryngeal paralysis causes severe stenosi...
Inflammation Of The Eyes - Ophthalmia
For common Ophthalmia, in the early stages, while there is mo...
Raw Food Healing Diets
Next in declining order of healing effectiveness is what I ca...
Climate And Soil
The soil on which one lives is a matter of primary importance;...
They ware in their foreheads scrowles of parchment, wher...
Bronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure eq...
One has but to refer to the enumerated causes of irregular he...
See Armpit Swelling and Bone. ...
Croup More Serious Form
This is caused by an accumulation of material in the windpipe,...
How the Nails are Made. Another trade, which our wonderful sk...
Head Sounds In
As the result and accompaniment of deafness these are sometime...
These are often performed in cases in which proper treatment o...
Urticaria Zoster Rubeola
_Urticaria_, _Zoster_ and _Rubeola_, are treated in the same ...
Practice On The Rubber-tube Manikin
This must be carried out in two ways. 1. General practice...
Whether any drug should be used which acts directly on the he...
To Prevent Scarlet Fever
Give Belladonna at the 3d attenuation, three to six pellets, ...
Wine And Water If No Reaction Can Be Obtained
Should the patient remain cold in his pack for longer than an...
Eruptive Cutaneous Diseases
Take A D current, pretty vigorous force in acute cases; mild ...
Esophageal Foreign Body Symptoms
1. There are no absolutely diagnostic symptoms. 2. Dysph...
The Nerves In The Skin
How We Tell Things from Touch, and Feel Heat and Cold and 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