No hook greater than a right angle should be used through en...
Sitz-bath Anchor Of Safety
If there be much delirium, the sitz-bath may be required long...
Bile On The Stomach
Take half a teacupful of hot water every ten minutes for ten h...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
Diffuse Dilatation Of The Esophagus
This is practically always due to stagnation ectasia, which i...
Blood Pressure And Insurance
An epitome of the consensus of opinion of the risk of accepti...
Relaxed And Atrophied Conditions
I alluded, above, to a distinction between a relaxed and an ...
To wisely alter and arrange the treatment in any case is of th...
Gabriel Tucker modified the regular side-curved forceps by a...
To Prevent Scarlet Fever
Give Belladonna at the 3d attenuation, three to six pellets, ...
Direction Of The Esophagus
The esophagus enters the chest in a decidedly backward as we...
If a person has been long accustomed to a slow-acting heart, ...
Fever Scarlet Or Scarlatina
As a first precaution, when an epidemic of this exists, childr...
Avoidance of the causes of disease requires some idea of the d...
Purple Spots On Skin
These arise first as small swellings. The swellings fall, and ...
The esophagoscope, like the bronchoscope, is a hollow brass ...
When the conducting cords are of equal length, as commonly th...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
Resume Of Tracheotomy
Instruments. Headlight Sandbag Scalpel Hemostats ...
Often there follows, after the cure of an inflammatory disease...
Instruments For Direct Laryngoscopy
Category: DIRECT LARYNGOSCOPY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
In undertaking direct
laryngoscopy one must always be prepared for bronchoscopy,
esophagoscopy, and tracheotomy, as well. Preparations for bronchoscopy
are necessary because the pathological condition may not be found in
the larynx, and further search of the trachea or bronchi may be
required. A foreign body in the larynx may be aspirated to a deeper
location and could only be followed with the bronchoscope. Sudden
respiratory arrest might occur, from pathology or foreign body,
necessitating the inserting of the bronchoscope for breathing
purposes, and the insufflation of oxygen and amyl nitrite. Trachectomy
might be required for dyspnea or other reasons. It might be necessary
to explore the esophagus for conditions associated with laryngeal
lesions, as for instance a foreign body in the esophagus causing
dyspnea by pressure. In short, when planning for direct laryngoscopy,
bronchoscopy, or esophagoscopy, prepare for all three, and for
tracheotomy. A properly done direct laryngoscopy would never
precipitate a tracheotomy in an unanesthetized patient; but direct
laryngoscopy has to deal so frequently with laryngeal stenosis, that
routine preparation for tracheotomy a hundred unnecessary times is
fully compensated for by the certainty of preparedness when the rare
but urgent occasion arises.
Next: Direct Laryngoscopy In Children
Previous: Difficulties Of Direct Laryngoscopy