List Of Instruments
Categories: INSTRUMENTARIUMSources: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The following list has been compiled as a
convenient basis for equipment, to which such special instruments as
may be needed for special cases can be added from time to time. The
instruments listed are of the author's design.
1 adult's laryngoscope.
1 child's laryngoscope.
1 infant's diagnostic laryngoscope.
1 anterior commissure laryngoscope.
1 bronchoscope, 4 mm. X 30 cm.
1 bronchoscope, 7 mm. X 40 cm.
1 bronchoscope, 9 mm. X 40 cm.
1 esophagoscope, 7 mm. X 45 cm.
1 esophagoscope, 10 mm. X 53 cm.
1 esophagoscope, full lumen, 7 mm. X 45 cm.
1 esophagoscope, full lumen, 9 mm. X 45 cm.
1 esophageal speculum, adult.
1 esophageal speculum, child.
1 forward-grasping forceps, delicate, 40 cm.
1 forward-grasping forceps, regular, 50 cm.
1 forward-grasping forceps, regular, 60 cm.
1 side-grasping forceps, delicate, 40 cm.
1 side-grasping forceps, regular, 50 cm.
1 side-grasping forceps, regular, 60 cm.
1 rotation forceps, delicate, 40 cm.
1 rotation forceps, regular, 50 cm.
1 rotation forceps, regular, 60 cm.
1 laryngeal alligator forceps.
1 laryngeal papilloma forceps.
10 esophageal bougies, Nos. 8 to 17 French (larger sizes to No. 36
may be added).
1 special measuring rule.
6 light sponge carriers.
1 aspirator with double tube for minus and plus pressure.
2 endoscopic aspirating tubes 30 and 50 cm.
1 half curved hook, 60 cm.
1 triple circuit bronchoscopy battery.
6 rubber covered conducting cords for battery.
1 box bronchoscopic sponges, size 4.
1 box bronchoscopic sponges, size 5.
1 box bronchoscopic sponges, size 7.
1 box bronchoscopic sponges, size 10.
1 bite block, 1 adult.
1 bite block, child.
2 dozen extra lamps for lighted instruments.
1 extra light carrier for each instrument.*
4 yards of pipe-cleaning, worsted-covered wire.
[* Messrs. George P. Pilling and Sons who are now making these
instruments supply an extra light carrier and 2 extra lamps with each
instrument.]
More
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Inflammation Of The Finger Case Xxxii
Miss B. aged 23, had a slight scratch on the inside of the index finger, which issued in severe inflammation extending over the back of the hand. I made a free incision in the part first affected, evacuated a little pus, and directed a poultice to b... Inflammation Of The Lungs - Pneumonia
This disease is often connected with Pleurisy, and consists of inflammation of the substance of the lungs. As in the former case, it may attack only one, but may exist in both sides at the same time. If the pleura is also affected, there will be all... Influenzal Laryngotracheobronchitis
Influenzal infection, not always by the same organism, sweeps over the population, attacking the air passages in a violent and quite characteristic way. Bronchoscopy shows the influenzal infection to be characterized by intense reddening and swelli... Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy
When taking a specimen the party wall should be inspected by passing a laryngoscope or, if necessary, an esophageal speculum down through the laryngopharynx and beyond the cricopharyngeus. If this region shows infiltration, all hope of cure by oper... Instructions To The Patient
Before beginning endoscopy the patient should be told that he will feel a very disagreeable pressure on his neck and that he may feel as though he were about to choke. He must be gently but positively made to understand (1) that while the procedure... Instruments For Direct Laryngoscopy
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 sea... Intermittent Fever Ague And Fever
Use the A D current. First, give general tonic treatment. (See page 95.) Then close the sitting with a strong current, running from spleen to liver--P. P. upon spleen, in the left side, just below the ribs, and N. P. upon liver--best reached in the ... Interpretation Of Tracings
The interpretation of the arterial tracing shows that the nearly vertical tip-stroke is due to the sudden rise of blood pressure caused by the contraction of the ventricles. The long and irregular down-stroke means a gradual fall of the blood pressu... Intestinal Putrefaction
The most successful procedure in the management of intestinal putrefaction is to remove meat from the diet absolutely. Laxatives in some form are generally indicated, and one of tile best is agar- agar. Of course aloin and cascara are always good la... Introduction
IN climbing a mountain, if we know the path and take it as a matter of course, we are free to enjoy the beauties of the surrounding country. If in the same journey we set a stone in the way and recognize our ability to step over it, we do so at once... Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the glottis by left-handed direct laryngoscopy in less than one minute. When he has mastered this, one minute more should be sufficient to introduce the bronchoscope into the trachea. ... Introduction Of The Esophagoscope
The esophagoscope is to be passed only with ocular guidance, never blindly with a mandrin or obturator, as was done before the bevel-ended esophagoscope was developed. Blind introduction of the esophagoscope is equally as dangerous as blind bouginag... Inward Rotation Method
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 forcep... Ipecac
acts very beneficially when applied to the surface where there is high fever, with nausea and vomiting. Half an ounce of _tr._ Ipecac to two quarts of tepid water, applied with a sponge to the whole surface, acts like magic in yellow fever, allaying... Iron
It is essential for the welfare of the patient, especially after a long illness before the complication of endocarditis could occur, and in rheumatic fever, in which all meat and meat extractives have been kept from the diet, that small doses of iro... Irritable Bowels
Some peoples' lives don't run smoothly. Jeanne's certainly didn't. She was abandoned to raise three little kids on welfare. Her college diploma turned out to be useless. Jeanne used to help me at Great Oaks in exchange for treatment. During those ea... Irritable Husbands
SUPPOSE your husband got impatient and annoyed with you because you did not seem to enter heartily into the interests of his work and sympathize with its cares and responsibilities and soothe him out of the nervous harassments. Would you not... Is Physical Culture Good For Girls?
A NUMBER of women were watching a game of basket-ball played by some high-school girls. In the interim for rest one woman said to her neighbor: "Do you see that girl flat on her back, looking like a very heavy bag of sand ?" "Yes," the an... Itch
I shall say but little about this very common and very obstinate affection. Everybody has a "cure for itch" yet nobody cures it short of the use of _Sulphur_ in some form. Though the attenuations of Sulphur may sometimes cure itch, it must be acknow... Jaundice
This disease depends upon derangement of the liver. The skin and whites of the eyes become yellow; the patient grows weak, loses his appetite, is dull and sluggish in all his actions, melancholly and discouraged in his moods. TREATMENT. _Mer... Laryngoscopes
The regular type of laryngoscope shown in Fig. I (A, B, C) is made in adult's, child's, and infant's sizes. The instruments have a removable slide on the top of the tubular portion of the speculum to allow the removal of the laryngoscope after the ... Laxatives
If the bowels are known to be in excellent condition and not loaded with fecal matters, brisk catharsis is not needed simply because endocarditis has developed. If the bowels have been neglected, a small dose of calomel, aided by a compound aloin ta... Length Of Bath
Although the temperature, in sthenic cases, should be a little lower than in erethic cases, it is not advisable to use the water very cold, as this would cause too strong a reaction, and consequently new excitement. The safer way is to let the tempe... Length Of Pack
Usually it is time for the patient to come out from his pack, when the pulse becomes fuller and stronger, the face begins to flush and the head to be affected. Frequently he sleeps till awakened by the increasing heat. A drink of cold water will qui... Length Of Pack Perspiration
To make quite sure of the reaction, the single sheet may be tried first, except in exceedingly violent cases, and the double sheet may be resorted to, if the single sheet prove inefficient. Or, should there be any doubt, the double sheet may be dipp... Length Of The Fast
How long should a person fast? In cases where there are serious complaints to remedy but where there are no life threatening disease conditions, a good rule of thumb is to fast on water for one complete day (24 hours) for each year that the person h... Less-rigorous-than-water Fasts
There are gradations of fasting measures ranging from rigorous to relatively casual. Water fasting is the most rapid and effective one. Other methods have been created by grasping the underlying truth of fasting, namely whenever the digestive effort... Lessons From Nutritional Anthropology
The next logical pair of questions are: how healthy could good nutrition make people be, and, how much deviation from ideal nutrition could we allow ourselves before serious disease appears? Luckily, earlier in this century we could observe living a... Leucorrhea Whites
Take A D current, very mild force. Introduce the vaginal electrode, N. P., until it meets the uterus, and manipulate with P. P. over the dorsal vertebrae five to eight minutes, three times a week. Once or twice a week, on the intervening days, give ... Leucorrhoea And Prolapsus Uteri - Whites Female Weakness
The disease depends in all cases upon _inflammation_ of the uterus, or vagina, or both. The inflammation may be simply in the neck of the uterus extending to the posterior surface of the vagina, or the latter may not be affected; or it may extend... Lilly
WILLIAM LILLY, a famous English astrologer of yeoman ancestry, was born at Diseworth, an obscure village in northwestern Leicestershire, May 1, 1602. In his autobiography he described his native place as a "town of great rudeness, wherein it is not ... List Of Instruments
The following list has been compiled as a convenient basis for equipment, to which such special instruments as may be needed for special cases can be added from time to time. The instruments listed are of the author's design. 1 adult's laryngosco... Local Applications
That medicines act locally, that is, manifest their symptoms by peculiar derangement or disturbance of some particular part of the system, more prominently than of any other part, for the time, no one will deny. That each one has some particular loc... Lues
Active and persistent antiluetic medication must precede and accompany any local treatment of luetic laryngeal stenosis. Prolonged stretching with oversized intubation tubes following excision or cauterization may sometimes be successful, but laryng... Lues Of The Esophagus
Esophageal syphilis is a rather rare affection, and may show itself as a mucous plaque, a gumma, an ulceration, or a cicatrix. Cicatricial stenosis developing late in life without history of the swallowing of escharotics or ulcerative lesions is str... Lues Of The Tracheobronchial Tree
Compared to laryngeal involvement, syphilis of the tracheobronchial tree is relatively rare. The lesions may be gummatous, ulcerative, or inflammatory, or there may be compressive granulomatous masses. Hemoptysis may have its origin from a luetic u... Malignant Disease Of The Esophagus
Cancer of the esophagus is a more prevalent disease than is commonly thought. In the male it usually develops during the fourth and fifth decades of life. There is in some cases the history of years of more or less habitual consumption of strong alc... Malignant Endocarditis Ulcerative Endocarditis
Since we have learned that bacteria are probably at the bottom of almost any endocarditis, the terms suggested under the classification of endocarditis as "mild" and "malignant" really represent a better understanding of this disease. They are not ... Mammary Abscess
(_Ague in the breast--Inflamed breast_.) This is a disease peculiar to nursing women. The first symptom is a slight pain or soreness in some part of the "breast," which continues to increase for a day or two, when a chill, more or less severe, set... Measles
This is a contagious disease, and always begins with symptoms like a cold, with high fever, and a severe dry cough, thirst and restlessness. _Pulsatilla_ is the proper medicine to palliate and regulate the symptoms. If the fever is high, _Aconite_ s... Measles
_Measles_, which may be easily distinguished from scarlatina, by the symptoms I have given under 29, are to be treated like the mildest forms of scarlet-fever, and, in most cases, require no treatment at all. Nervous affections are treated like thos... Measuring Rule
It is customary to locate esophageal lesions by denoting their distance from the incisor teeth. This is readily done by measuring the distance from the proximal end of the esophagoscope to the upper incisor teeth, or in their absence, to the upper ... Mechanical Effect Of Each Pole
The mechanical effect of the forward end of the current, or that part of it which is under the negative electrode, is to relax, expand and weaken; while that of the rear end, under the positive electrode, is to contract and strengthen. A moving ship... Mechanical Problems Of Bronchoscopic Foreign Body Extraction*
* For more extensive consideration of mechanical problems than is here possible the reader is referred to the Bibliography, page 311, especially reference numbers 1, 11, 37 and 56. The endoscopic extraction of a foreign body is a mechanical pr... Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
The bronchoscopic problems considered in the previous chapter should be studied. The extraction of transfixed foreign bodies presents much the same problem as those in the bronchi, though there is no limit here to the distance an object may be pu... Mechanical Spoon
When soft, friable substances, such as a bolus of meat, become impacted in the upper esophagus, the short mechanical spoon (Fig. 30) used through the esophageal speculum is of great aid in their removal. The blade in this instrument, as the name sug... Medical Amulets
Among the various subjects which belong to the province of medical folk-lore, one of the most interesting relates to amulets and protective charms, which represent an important stage in the gradual development of Medicine as a science. And especia... Medicinal Runic Inscriptions
The discovery of the script of the ancient Germans, supposed to be of Egyptian or Phenician origin, was attributed to Wodan, who was regarded as the chief expert in magical writing. The so-called noxious runes were thought to bring evil upon enemi... Menorrhagia - Profuse Menses - Flowing
For this affection, _Ipecac_ and _Hamamelis_ are the specifics. They should be taken alternately, at intervals of from half an hour to two hours apart, according to the urgency of the symptoms, and the _Hamamelis_ injected into the vagina. These wil... Menorrhagia Excessive Menstruation
If the menstrual flow is apt to terminate in hemorrhage, it is best to give general tonic treatments, about three times a week, between the periods; and during the last four or five days before color is expected to appear, to take the B D current, m... Metallo-therapy
Metallo-therapy has been defined as a mode of treating various affections, chiefly those of a nervous character, by the external application of metals. It was recommended by Galen and other medical writers, but they attributed its curative powers ... Methods Of Obtaining Pure Water
Wise Planning and Spending of Money is Necessary. If our city wells are defiled by manure heaps and vault-privies, and our streams by sewage, where are we to turn for pure water? All that is required is foresight and a little intelligent planning an... Methods Of Treatment
Irritating applications probably provoke recurrences, because the growths are of inflammatory origin. Formerly laryngostomy was recommended as a last resort when all other means had failed. The excellent results from the method described in the for... Mild Reaction Erethic
If the poison is not virulent, and the body of the patient in a favorable condition, the _reaction_ is _mild_, and the poison is eliminated without any violent efforts on the part of the organism. This is the case in scarlatina simplex, and in mild ... Milk, Meat, And Other Protein Foods
Speaking of butter, how about milk? The dairy lobby is very powerful in North America. Its political clout and campaign contributions have the governments of both the United States and especially that of Canada eating out of its hand (literally), pr... Mind Training
IT will be plainly seen that this training of the body is at the same time a training of the mind, and indeed it is in essence a training of the will. For as we think of it carefully and analyze it to its fundamental principles, we realize t... Mineral Acids In Case Of Severe Sore-throat
In case the throat be very troublesome, there cannot be any objection to using the mineral acid, as I have indicated above (35), except homoeopathic remedies should be thought preferable and found to afford sufficient relief. Some good may, and no h... Mineral Acids Muriatic Acid Prescriptions
have also been used with good effect in some epidemics. _Muriatic acid_ I have frequently used myself for inflammation of the throat, in connection with hydriatic treatment, and it has almost always contributed to relieve the symptoms materially. ... Mitral Insufficiency: Mitral Regurgitation
This is the most frequent form of valvular disease of the heart, and is due to a shortening or thickening of the valves, or to some adhesion which does not permit the valve, to close properly, and the blood consequently regurgitates from the left ve... Mitral Stenosis: Mitral Narrowing
This particular valvular defect occurs more frequently in women than in men, and between the ages of 10 and 30, and is generally the result of rheumatic endocarditis or chorea, perhaps 60 percent of mitral stenosis having this origin. Other causes a... Modifications Of Electricity
In the present stage of electric science, the conviction has become very general among experimenters that galvanism, magnetism, faradism, frictional electricity and the electricity of the storm-cloud are, in their essential nature, one and the same;... Moods
RELIEF from the mastery of an evil mood is like fresh air after having been several hours in a close room. If one should go to work deliberately to break up another's nervous system, and if one were perfectly free in methods of procedure, the bes...