VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Nstrumentarium

Direct 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 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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1185