Medical ArticlesBronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure eq...
How To Give Yourself An Enema
Enemas have been medically out of favor for a long time. Most...
It is not easy to decide just whew all acute endocarditis has...
Do Not Hurry
HOW can any one do anything well while in a constant ...
Decannulation After Cure Of Laryngeal Stenosis
In order to train the patient to breathe again through the la...
Bronchoscopy should be done in all cases of chronic pulmonar...
Potatoes boiled and beaten up with buttermilk, spread out in t...
Get a sufficient quantity of good bran in an ordinary washhand...
Remedy Finding A
It will sometimes occur, in the case of those endeavouring to ...
THE ability to be easily and heartily amused brings a wholeso...
This may with advantage to the health of the skin and body in ...
This most important matter of good sleep for the child depends...
The Child As An Ideal
WHILE the path of progress in the gaining of repose c...
Where Our Drinking Water Comes From
Water Contained in our Food is Pure. Seeing that five-sixths ...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
Amaurosis Paralysis Of The Optic Nerve
Use B D current, moderate force, three or four times, and the...
The Use Of Forceps In Endoscopic Foreign Body Extraction
Two different strengths of forceps are supplied, as will be s...
Readily identified by smell of tar or carbolic. Wash mouth wel...
This arises generally, from inflammation of the mucous membra...
From The Hygienic Dictionary
Vitamins.  The staple foods may not contain the same nutr...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The dilatation of cicatricial stenosis of the
esophagus can be done safely only by endoscopic methods. Blind
esophageal bouginage is highly dangerous, for the lumen of the
stricture is usually eccentric and the bougie is therefore apt to
perforate the wall rather than find the small opening. Often there is
present a pouching of the esophagus above a stricture, in which the
bougie may lodge and perforate. Bougies should be introduced under
visual guidance through the esophagoscope, which is so placed that the
lumen of the stricture is in the center of the endoscopic field. The
author's endoscopic bougies (Fig. 40) are made with a flexible
silk-woven tip securely fastened to a steel shaft. This shaft lends
rigidity to the instrument sufficient to permit its accurate
placement, and its small size permits the eye to keep the silk-woven
tip in view. These endoscopic bougies are made in sizes from 8 to 40,
French scale. The larger sizes are used especially for the dilatation
of laryngeal and tracheal stenoses. For the latter work it is
essential that the bougies be inspected carefully before they are
used, for should a defective tip come off while in the lower air
passages a difficult foreign body problem would be created.
Soft-rubber retrograde dilators to be drawn upward from the stomach by
a swallowed string are useful in gastrostomized cases (Fig. 35).
[FIG 38.--Half curved hook, 45 cm. and 60 cm. Full curved patterns are
made but caution is necessary to avoid them becoming anchored in the
bronchi. Spiral forms avoid this. The author makes for himself steel
probe-pointed rods out of which he bends hooks of any desired shape.
The rod is held in a pin-vise to facilitate bending of the point,
after heating in an alcohol or bunsen flame.]
Previous: Bronchial Dilators