|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesNerve Centres Failing
Many diseases flow from this cause, but at present we only con...
All endoscopic procedures should be performed in a somewhat ...
This arises generally, from inflammation of the mucous membra...
How To Sleep Restfully
IT would seem that at least one might be perfectly fr...
For all such wounds, the best method is frequent cleansing wit...
Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of ...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Water In The Head
In cases where this trouble is suspected, very often there is ...
See Indigestion. ...
Bruises Case Xv
The following case was far more severe, but the mode of treat...
How Nuts should be Used. Another form of fat is the meat of ...
Lungs Congestion Of The
Treatment as below. Read preceding and succeeding articles. ...
Brow The Weary
Sometimes in the case of a child at school, the result of over...
Physical Signs Of Tracheal Foreign Body
If fixed in the trachea the only objective sign of foreign bo...
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers...
Technicalities Of The Pack And Bath
Let me give you its technicalities, and the rationale of its ...
Causes And Dangers Of Polluted Water
Wells--the Oldest Method of Supplying Water. It was long ago ...
The Glands In The Skin
Sweat Glands. Like all the pavement (epithelial) surfaces of ...
Simple remedies such as we advocate are found of immense servi...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
Examination Of The Trachea And Bronchi
Category: 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