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_Erythema_ may be considered an exceedingly mild form of erys...
Care Of The Nails
Importance of Clean Nails. On account of their constant use, ...
Breath And The Skin
The organs of breathing remove much waste from the system, but...
Children's Deformed Feet
See Club Foot. ...
If the case be recent, take the B D current; if old, take A D...
Where we prescribe this, either for drinking or for external u...
In cases not demonstrably tuberculous, hemoptysis may requir...
Secondary Eliminations Are Disease
However the exact form the chain from irritation or malnutrit...
Where Our Drinking Water Comes From
Water Contained in our Food is Pure. Seeing that five-sixths ...
Bruises Case Xx
It frequently occurs to surgeons to receive slight wounds upo...
Lumbago differs from both paralysis and cramp of the lower bac...
Biscuits And Water
The biscuits referred to are manufactured in Saltcoats.[A] The...
Quiet Vs Chronic Excitement
SOME women live in a chronic state of excitement all ...
The cause of an irregularly acting heart in an adult may be o...
Blood Supply Of
To supply good blood in cases where it is lacking, either from...
Acute Stenosis Of The Larynx
Etiology.--Causes of a relatively sudden narrowing of the lum...
Practice On The Rubber-tube Manikin
This must be carried out in two ways. 1. General practice...
These are often piled on the front of the body, while the far ...
Stokes Adams Treatment
The treatment of true Stokes-Adams disease is unsuccessful. I...
Take the A D current. If torpid, treat with mild force. Treat...
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.
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