A dream from 12/28/92 (Only part of the dream) I was in a room with a book open in my hands. The book listed names of demons and what they were the demons of. The last name on the list was the only one I remember being able to read. The demon... Read more of Demons at My Dreams.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Oxalic Acid

Neutralise by chalk or lime water, but not by soda or any alka...

Tetanus

This is substantially the same thing as trismus, except that ...

Difficulties Of Direct Laryngoscopy

The larynx can be directly exposed in any patient whose mout...

Bowels Reversed

See Bowels, Locking of, above. ...

Cadaver Practice

The fundamental principles of peroral endoscopy are best tau...

Chest Protectors

These are often piled on the front of the body, while the far ...

Scald Head

of children, where there is a discharge of yellow and watery ...

The Electric Circuit

The Electric Circuit is made up of any thing and every thing ...

The Tongue

The Tongue is not Used chiefly for Tasting. If you will notic...

Scurvy

Is a disease springing from disordered digestion, and caused s...

Accidents And Emergencies

Ordinarily, Accidents are not Serious. Accidents will happe...

Intermittent Fever Ague And Fever

Use the A D current. First, give general tonic treatment. (Se...

Natural Polarization Of Man's Physical Organism

The electro-vital fluid, in the animal economy, is subject to...

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...

Influenzal Laryngotracheobronchitis

Influenzal infection, not always by the same organism, sweep...

Muscular Action Weak

The heart is the most important of all muscles. Sometimes the ...

Ulcers Case Xxiii

Mr. Marshall, aged 60, had a troublesome ulcer under the oute...

Whooping Cough

The cough is a spasmodic action of nerves which are otherwise ...

Beverages

The Popularity of Beverages. For some curious reason, the h...

Diet For The Acutely Ill

The acutely ill person experiences occasional attacks of dist...



Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree





Category: MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The difficulties here consist in the liability of crushing or
fragmenting the object, and scattering portions into minute bronchi,
as well as the problem of disimpaction from a ring of annular edema,
with little or no forceps space. There is usually in these cases an
abundance of purulent secretion which further hinders the work. The
great danger of pushing the foreign body downward so that the swollen
mucosa hides it completely from view, must always be kept in mind.
Extremely delicate forceps with rather broad blades are required for
this work. The fenestrated peanut forceps are best for large pieces
in the large bronchi. The operator should develop his tactile sense
with forceps by repeated practice in order to acquire the skill to
grasp peanut kernels sufficiently firmly to hold them during
withdrawal, yet not so firmly as to crush them. Nipping off an edge by
not inserting the forceps far enough is also to be avoided. Small
fragments under 2 mm. in diameter may be expelled with the secretions
and fragments may be found on the sponges and in the secretions
aspirated or removed by sponge pumping. It is, however, never
justifiable deliberately to break a friable foreign body with the hope
that the fragments will be expelled, for these may be aspirated into
small bronchi, and cause multiple abscesses. A hook may be found
useful in dealing with round, friable, foreign bodies; and in some
cases the mechanical spoon or safety-pin closer may be used to
advantage. The foreign body is then brought close to, but not crushed
against the tube mouth.

[174] Removal of animal objects from the tracheobronchial tree is
readily accomplished with the side-curved forceps. Leeches are not
uncommon intruders in European countries. Small insects are usually
coughed out. Worms and larvae may be found. Cocaine or salt solution
will cause a leech to loosen its hold.

Foreign bodies in the upper-lobe bronchi are fortunately not common.
If the object is not too far out to the periphery it may be grasped by
the upper-lobe-bronchus forceps (Fig. 90), guided by the collaboration
of the fluoroscopist. These forceps are made so as to reach high into
the ascending branches of the upper-lobe bronchus. Full-curved
coil-spring hooks will reach high, but must be used with the utmost
caution, and the method of their disengagement must be practiced
beforehand.





Next: Penetrating Projectiles

Previous: The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi



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 1288