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Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy

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Oxygen Tank And Tracheotomy Instruments





Category: INSTRUMENTARIUM
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Respiratory arrest may occur from shifting of a foreign body, pressure of the esophagoscope,
tumor, or diverticulum full of food. Rare as these contingencies are,
it is essential that means for resuscitation be at hand. No endoscopic
procedure should be undertaken without a set of tracheotomy
instruments on the sterile table within instant reach. In respiratory
arrest from the above mentioned causes, respiratory efforts are not
apt to return unless oxygen and amyl nitrite are blown into the
trachea either through a tracheotomy opening or better still by means
of a bronchoscope introduced through the larynx. The limpness of the
patient renders bronchoscopy so easy that the well-drilled
bronchoscopist should have no difficulty in inserting a bronchoscope
in 10 or 15 seconds, if proper preparedness has been observed. It is
perhaps relatively rarely that such accidents occur, yet if
preparations are made for such a contingency, a life may be saved
which would otherwise be inevitably lost. The oxygen tank covered with
a sterile muslin cover should stand to the left of the operating
table.





Next: Asepsis

Previous: Operating Room



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