VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Earache

In the common form this is purely neuralgic. The nerves are in...

To Mothers

MOST mothers know that it is better for the baby to p...

Ulcers Case Xxv

The following case illustrates the superior efficacy of the l...

Flour, And Other Matters Relating To Seeds

One of the largest degradations to human health was caused by...

Haemorrhage

See Bleeding; Wounds. ...

Foods For Monodiet, Juice Or Broth Fasting

zucchini, garlic, onion, green beans, kale, celery, beet gree...

Essentials Of A Successful, Safe Fast

1. Fast in a bright airy room, with exceptionally good ventil...

Priessnitz's Method The Wet-sheet-pack

a remedy which, alone, is worth the whole antiphlogistic, dia...

Auricular Fibrillation Auricular Flutter

Auricular fibrillation is at times apparently a clinical enti...

Mineral Acids And Glacial Acetic

If any neutralising agent, such, e.g., as lime, chalk, soda, o...

Urticaria Zoster Rubeola

_Urticaria_, _Zoster_ and _Rubeola_, are treated in the same ...

Oil Olive

A little oil only should be applied to the skin at once. Any s...

Flushings Hot

These are often a really serious trouble, especially to women,...

Children's Limbs

Frequently a failure of some kind shows itself in the limbs of...

Buttermilk

Where we prescribe this, either for drinking or for external u...

Our Relations With Others

EVERY one will admit that our relations to others sho...

The Cause Of Disease

Ever since natural medicine arose in opposition to the violen...

Bronchoscopic Appearances In Disease

The first look should note the color of the bronchial mucosa...

Blood Supply Of

To supply good blood in cases where it is lacking, either from...

Air

The Black Hole of Calcutta is an object lesson of how necessary...



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 1025