Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Esophageal Foreign Body

After initial choking and gagging, or without these, there m...

Bromids And Chloral

If there is much restlessness and the circulation is good, th...

Symptoms And Signs Of Cardiac Disturbance

It is now recognized that any infection can cause weakness an...

Throat Hoarseness

This is best treated by a good large BRAN POULTICE (see) on th...

Tracheobronchial Diphtheria

Urgent dyspnea in diphtheria when no membrane and but slight...

The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region

On comparing the bend of the knee with the bend of the elbow,...

Fever Typhoid

Treat as under Fever, Gastric, and Fever. In addition, great c...

Biscuits And Water

The biscuits referred to are manufactured in Saltcoats.[A] The...

Ablutions And Rubbing With Iced Water Or Snow

In a few very obstinate cases, when no rash would appear afte...

The Lower Animals

It may, by some, be objected that, if we regard sensation as ...

Bathing The Feet

This apparently simple treatment, if the best results are desi...

Mitral Insufficiency: Mitral Regurgitation

This is the most frequent form of valvular disease of the hea...

Paracelsus

THEOPHRASTUS BOMBASTUS VON HOHENHEIM, commonly known as Parac...

Proteins Or Meats

Proteins, the First Foods. There are proteins, or meats, both...

Exercise

Where this is advised medically, it is often taken in a manner...

Hooks

No hook greater than a right angle should be used through en...

General Tonic Treatment

Take the B D current, (A D is very good), of fair medium stre...

Compression Stenosis Of The Trachea

Decannulation in these cases can only follow the removal of ...

Acute Dilatation Of The Stomach

This condition is not well understood, nor is its frequence k...

Division Of The Process Of The Disease Into Periods

Its course is commonly divided into four distinct periods, vi...



Inward Rotation Method





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

When the point is found to be buried in the
mucosa, the best and usually successful method is to grasp the pin as
near the point as possible with the side-grasping forceps, then with a
spiral motion to push the pin downward while rotating the forceps
about ninety degrees. The point is thus disengaged, and the shaft of
the pin is brought parallel with that of the forceps, after which the
point may be drawn into the tube mouth. The lips added to the
side-curved forceps by my assistant Dr. Gabriel Tucker I now use
exclusively for this inward rotation method. They are invaluable in
preventing the escape of the pin during the manipulation. A hook is
sometimes useful in disengaging a buried point. The method of its use
is illustrated in Fig. 82.

[FIG. 82.--Mechanical problem of pin, needle, tack or nail with
embedded point. If the forceps are pulled upon the pin point will be
buried still deeper. The side curved forceps grasp the pin as near the
point as possible then with a corkscrew motion the pin is pushed
downward and rotated to the right when the pin will be found to be
parallel with the shaft of the forceps and can be drawn into the tube.
If the pin is prevented by its head from being pushed downward the
point may be extracted by the hook as shown above The side curved
forceps may be used instead of the hook for freeing the point, the
author's inward rotation method. The very best instrument for the
purpose is the forceps devised by my assistant, Dr. Gabriel Tucker
(Fig. 21). The lips prevent all risk of losing the pin from the grasp,
and at the same time bring the long axis of the pin parallel to that
of the bronchoscope.]

Pins are very prone to drop into the smaller bronchi and disappear
completely from the ordinary field of endoscopic exploration. At other
times, pins not dropping so deeply may show the point only during
expiration or cough, at which times the bronchi are shortened. In such
instances the invaded bronchial orifice should be clearly exposed as
near the axis of its lumen as possible; the forceps are now inserted,
opened, and the next emergence watched for, the point being grasped as
soon as seen.





Next: Extraction Of Tacks Nails And Large Headed Foreign Bodies From The Tracheobronchial Tree

Previous: Anchoring The Foreign Body Against The Tube Mouth



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 851