InformationalPrivacy
| VIEW THE MOBILE VERSION of www.homemedicine.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Forgotten Remedies |
Search |
Medical ArticlesNstrumentariumDirect laryngoscopy, bronchoscopy, esophagoscopy and gastrosc... Unconsciousness There are two opposite causes of unconsciousness. One is conge... Thuya is a specific when locally used for _Sycosis_, also for fungo... About Faces WATCH the faces as you walk along the street! If you ... Bruises Case Xv The following case was far more severe, but the mode of treat... Restlessness In slight cases, where the patient simply cannot sleep for tos... Treatment Of Compression Stenoses Of The Trachea If the thymus be at fault, rapid amelioration of symptoms fo... Where Our Drinking Water Comes From Water Contained in our Food is Pure. Seeing that five-sixths ... Knee Swelling Of Or Pain In For ordinary slight injuries, complete rest, and rubbing with ... Climate And Soil The soil on which one lives is a matter of primary importance;... Beef Tea It is well to bear in mind that there is scarcely any nourishm... Scarlatina Miliaris Sometimes the red patches of the rash are covered with small ... Eczema Skin eruptions, known under this name, have very various cause... Hurry, Worry, And Irritability PROBABLY most people have had the experience of hurry... Glands Swollen This is a very common trouble, especially in the young. To res... No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible Scarlet-fever is a disease, which cannot be cut short. Any at... Soapy Blanket The It seems necessary, in getting people to use the best means fo... Bleeding In any case of this pack the feet and legs as directed in Lung... Limbs Uncontrollable This trouble is found in the double form; first, of limbs whic... Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages Initial symptoms are choking, gagging, coughing, and wheezing... |
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 1185 |
||||||||||||||||||||
