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Medical ArticlesEnlargement Or Ossification Of The HeartTreat these two affections in the same way. Take the A D curr... Muscular Action Weak The heart is the most important of all muscles. Sometimes the ... Myocarditis Fibrous Management The advice he should receive is well understood: to avoid phy... Our Wonderful Coat What the Skin Is. The skin is the most wonderful and one of t... Cholera Morbus This disease generally comes on at night, in hot weather, and... Diets To Heal The Critically Ill A critically ill person is someone who could expire at any mo... Calendula is applied to wounds, _incised_ and _lacerated_, promoting he... Head Soaping Have a piece of M'Clinton's soap, a good shaving brush, and a ... Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus 1. The time of inhalation of a foreign body may be unknown ... Ablutions And Rubbing With Iced Water Or Snow In a few very obstinate cases, when no rash would appear afte... The Relative Anatomy Of The Male Pelvic Organs As the abdomen and pelvis form one general cavity, the organs... The Care Of The Heart-pump The Effect of Work upon the Heart. Whatever else in this body... Nourishment Heat In Heat is absorbed in building up the bodily tissues, and given ... Measles This is a contagious disease, and always begins with symptoms... The Ammonium Carbonicum recommended by Peart, has been considered by many as a specif... The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts All surgical regions have only artificial boundaries; and the... Typhoid Fever Ulcerative lesions in the larynx during typhoid fever are al... Eyes Failing Sight This often comes as the result simply of an over-wearied body ... The Glands In The Skin Sweat Glands. Like all the pavement (epithelial) surfaces of ... Colic Of Whatever Kind Use A D current, pretty strong force. In severe cases, introd... |
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
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