|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Metallo-therapy has been defined as a mode of treating vari...
Amaurosis Paralysis Of The Optic Nerve
Use B D current, moderate force, three or four times, and the...
Errors To Avoid In Suspected Foreign Body Cases
1. Do not reach for the foreign body with the fingers, lest...
By this we mean, not the nerve trouble which follows a sudden ...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
Tests Of Heart Strength
If both systolic and diastolic blood pressure are taken, and ...
This is a very common trouble, especially in the young. To res...
Sentiment _versus_ Sentimentality
FREEDOM from sentimentality opens the way for true sentiment....
It is essential that the patient on whom the examination is t...
Care Of Instruments
The endoscopist must either personally care for his instrume...
Seamill Sanatorium And Hydropathic
Very soon after the appearance of these "Papers on Health," th...
The Blue-glass Mania
As illustrative of the power of the imagination, the so-cal...
Instruments For Direct Laryngoscopy
In undertaking direct laryngoscopy one must always be prepar...
The Real Truth About Salt And Sugar
First, let me remind certain food religionists: salt is salt ...
under a well conducted course of hydriatic treatment is, in g...
See Abscess; Ankle; Armpit; Bone, Diseased. ...
Renal Calculi Gravel In The Kidneys
Take the A C current, of considerable force. Place N. P. low ...
Much more than is readily believed depends on the state of the...
Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
Eyes Hazy Sight
Frequently, after inflammation, and even when that has ceased,...
Extraction Of Open Safety-pins From The Esophagus
Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
An open safety
pin with the point down offers no particular mechanical difficulty in
removal. Great care must be exercised, however, that it be not
overridden or pushed upon, as either accident might result in
perforation of the esophagus by the pin point. The coiled spring is to
be sought, and when found, seized with the rotation forceps and the
pin thus drawn into the esophagoscope to effect closure. An open
safety-pin lodged point upward in the esophagus is one of the most
difficult and dangerous problems. A roentgenogram should always be
made in the plane showing the widest spread of the pin. It is to be
remembered that the endoscopist can see but one portion of the pin at
a time (except in cases of very small safety-pins) and that if he
grasps the part first showing, which is almost invariably the keeper,
fatal trauma will surely be inflicted when traction is made. It may be
best to close the safety pin with the safety-pin closer, as
illustrated in Fig. 37. For this purpose Arrowsmith's closer is
excellent. In other cases it may prove best to disengage the point of
the pin and to bring the pointed shaft into the esophagoscope with the
Tucker forceps and withdraw the pin, forceps, and esophagoscope, with
the keeper and its shaft sliding alongside the tube. The rounded end
of the keeper lying outside the tube allows it to slip along the
esophageal walls during withdrawal without inflicting trauma; however,
should resistance be felt, withdrawal must immediately cease and the
pin must be rotated into a different plane to release the keeper from
the fold in which it has probably caught. The sense of touch will aid
the sense of sight in the execution of this maneuver (Fig. 87). When
the pin reaches the cricopharyngeal level the esophagoscope, forceps,
and pin should be turned so that the keeper will be to the right, not
so much because of the cricopharyngeal muscle as to escape the
posteriorly protuberant cricoid cartilage. In certain cases in which
it is found that the pointed shaft of a small safety pin has
penetrated the esophageal wall, the pin has been successfully removed
by working the keeper into the tube mouth, grasping the keeper with
the rotation forceps or side-curved forceps, and pulling the whole pin
into the tube by straightening it. This, however, is a dangerous
method and applicable in but few cases. It is better to disengage the
point by downward and inward rotation with the Tucker forceps.
Next: Version Of A Safety Pin
Previous: Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies