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Edematous TracheobronchitisCategory: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery This is chiefly observed in children. The most frequently encountered form is the epidemic disease to which the name Influenza has been given (q.v. supra). The only noticeable difference between the epidemic and the sporadic cases is in the more general susceptibility to the infective agent, which gives the influenzal form an appearance of being more virulently infective. Possibly the sporadic form is simply the attack of children not immunized by a previous attack during an epidemic. There is another form of edematous tracheobronchitis often of great severity and grave prognosis, that results from the aspiration of irritating liquids or vapors, or of certain organic substances such as peanut kernels, watermelon seeds, etcetera. Tracheotomy should be done if marked dyspnea be present. Secretions can then be easily removed and medication in the form of oily solutions be instilled at will into the trachea. In the Bronchoscopic Clinic many children have been kept alive for days, and their lives finally saved by aspiration of thick, tough, sometimes clotted and crusted secretions, with the aspirating tube (Fig. 10). It is better in these cases not to pass the bronchoscope repeatedly. If, however, evidences of obstruction remain, after aspiration, it is necessary to see the nature of the obstruction and relieve it by removal, dilatation, or bronchial intubation as the case may require. It is all a matter of plumbing i.e., clearing out the pipes, and maintaining a patulous airway. Next: Tracheobronchial Diphtheria Previous: Influenzal Laryngotracheobronchitis
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