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Medical ArticlesUlcers Case XxiMrs. Butcher, aged 52, has two ulcers a little above the oute... Paralysis This serious trouble in slighter forms affects one side of the... Burns And Scalds No matter what the nature and extent of the burn may be, the ... Acute Dilatation Of The Stomach This condition is not well understood, nor is its frequence k... Greatrakes VALENTINE GREATRAKES was born at Affane, County of Waterford,... Head Baths See Baths for Head. ... Physical Signs In Esophageal Foreign Body There are no constant physical signs associated with uncompli... Acetic Acid is a most efficient remedy applied to old irritable _varicose... About Frights HERE are two true stories and a remarkable contrast. ... Curing With Enemas It is not wise to continue regular colonics or enemas once a ... Practice On The Rubber-tube Manikin This must be carried out in two ways. 1. General practice... The Period Of Convalescence under the usual drug-treatment, is, however, usually protract... Nursing Over Few vital processes are more remarkable than that by which foo... Blood Pressure In Children May Michael, [Footnote: Michael, May: A Study of Blood Pressu... The Repugnant Bowel I don't know why, but people of our culture have a deep-seate... Burns Case Xxxiii A little girl, aged 10, scalded her breast a week ago and has... Precautions To Be Observed As long as compensation is complete, there are no medication ... Painful Menstruation Elsie was twenty. She came to see me because I had helped Els... Pimples On The Face See Face. ... Mind In Disease Often a person, because of physical failure, becomes possessed... |
Instruments For Direct LaryngoscopyCategory: 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
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