 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Forgotten Remedies |
Search |
Medical ArticlesDiverticulum Of The EsophagusDiverticula may, and usually do, consist in a pouching by her... Nerves Shaken By this we mean, not the nerve trouble which follows a sudden ... The Cause Of Disease Ever since natural medicine arose in opposition to the violen... Bone Diseased Diseased bone is not incurable. Bone is indeed constantly bein... Shivering This is often a trivial matter, but sometimes it is a symptom ... Nervous Fears TO argue with nervous anxiety, either in ourselves or... Paralysis This serious trouble in slighter forms affects one side of the... Vitamin Program For The Sick No matter which way you look at it or how well insured you ma... To Prevent Cholera _Camphor_ (_pellets medicated_ with the pure tincture) _Verat... Contraindications To Direct Laryngoscopy There are no absolute contraindications to direct laryngosco... Fits See Convulsions; Nervous Attack. ... Cephalagia Headache 1. "Nervous headache." Take the B D current--moderate force. ... Compression Stenosis Of The Esophagus The esophagus may be narrowed by the pressure of any periesop... Natural Polarization Of Man's Physical Organism The electro-vital fluid, in the animal economy, is subject to... Sitting (or Sitz) Bath This bath, in whatever form administered, is essentially a sit... Palpitation Ordinarily we are not aware of the beating of the heart, enorm... Arsenic Emetic, followed by white of egg. Keep very warm. ... Neck Stiff For this, rub the whole back with soap lather (see Lather; Soa... Laxatives If the bowels are known to be in excellent condition and not ... Measles _Measles_, which may be easily distinguished from scarlatina,... |
Examination Of The Trachea And BronchiCategory: INTRODUCTION OF THE BRONCHOSCOPE Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery All bronchial orifices must be identified seriatim; because this is the only way by which the bronchoscopist can know what part of the tree he is examining. Appearances alone are not enough. It is the order in which they are exposed that enables the inexperienced operator to know the orifices. After the removal of the laryngoscope, the bronchoscope is to be held by the left hand like a billiard cue, the terminal phalanges of the left middle and ring fingers hooking over the upper teeth, while the thumb and index finger hold the bronchoscope, clamping it to the teeth tightly or loosely as required (Fig. 63). Thus the tube may be anchored in any position, or at any depth, and the right hand which was directing the tube may be used for the manipulation of instruments. The grasp of the bronchoscope in the right hand should be similar to that of holding a pen, that is, the thumb, first, and second fingers, encircle the shaft of the tube. The bronchoscope should never be held by the handle (Fig. 64) for this grasp does not allow of tactile sense transmission, is rigid, awkward, and renders rotation of the tube a wrist motion instead of but a gentle finger action. Any secretion in the trachea is to be removed by sponge pumping before the bronchoscope is advanced. The inspection of the walls of the trachea is accomplished by weaving from side to side and, if necessary, up and down; the head being deflected as required during the search of the passages, so that the larynx be not made the fulcrum in the lever-like action. [FIG. 64.--At A is shown an incorrect manner of holding the bronchoscope. The grasp is too rigid and the position of the hand is awkward. B, Correct manner, the collar being held lightly between the finger and the thumb The thumb must not occlude the tube mouth.] Next: The Fulcrum Of The Bronchoscopic Lever Is At The Upper Thoracic Aperture Previous: Difficulties In The Introduction Of The Bronchoscope
Viewed 1745 |
|||||||||||||
