|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesThe Healing Influence Of Music Continued
Dr. Herbert Lilly, in a monograph on musical therapeutics, ...
The Effect Of Drugs On Venous Blood Pressure
Capps and Matthews [Footnote: Capps, J. A., and Matthews, S. ...
Ears Singing In The
Partial deafness is often accompanied by noises in the ear, wh...
If a person has been long accustomed to a slow-acting heart, ...
Acute Mild Endocarditis
This inflammation of the endocardium is generally confined to...
Where we prescribe this, either for drinking or for external u...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
The chief traumatic factors in chronic laryngeal stenosis ar...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
Cancer In Foot
We have noted one case in which "Cancerous Gangrene" in the fo...
Consumption Treatment Of
Turning now to the case when consumption has actually shown it...
Fatigue, excessive heat, fright, loss of blood, hunger, etc., ...
Punctures Case Xii
A servant maid was bitten by a dog in four places--severely o...
Difficulties In The Introduction Of The Bronchoscope
The beginner may enter the esophagus instead of the trachea:...
The diet of the sick should he nutricious, but at all times s...
Foreign Bodies In The Stomach
Gastroscopy is indicated in cases of a foreign body that ref...
Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should ...
Aphonia Loss Of Voice
This affection requires treatment variously, as it depends on...
A little oil only should be applied to the skin at once. Any s...
Practice On The Rubber-tube Manikin
Category: ACQUIRING SKILL
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
This must be carried out in
1. General practice with all sorts of objects for the education of
the eye and the fingers.
2. Before undertaking a foreign body case, practice should be had
with a duplicate of the foreign body.
It is not possible to have a cadaver for daily practice, but
fortunately the eye and fingers may be trained quite as effectually by
simulating foreign body conditions in a small red rubber tube and
solving these mechanical problems with the bronchoscope and forceps.
The tubing may be placed on the desk and held by a small vise (Fig.
72) so that at odd moments during the day or evening the fascinating
work may be picked up and put aside without loss of time. Complicated
rubber manikins are of no value in the practice of introduction, and
foreign body problems can be equally well studied in a piece of rubber
tubing about 10 inches long. No endoscopist has enough practice on the
living subject, because the cases are too infrequent and furthermore
the tube is inserted for too short a space of time. Practice on the
rubber tube trains the eye to recognize objects and to gauge distance;
it develops the tactile sense so that a knowledge of the character of
the object grasped or the nature of the tissues palpated may be
acquired. Before attempting the removal of a particular foreign body
from a living patient, the anticipated problem should be simulated
with a duplicate of the foreign body in a rubber tube. In this way the
endoscopist may precede each case with a practical experience
equivalent to any number of cases of precisely the same kind of
foreign body. If the object cannot be removed from the rubber tube
without violence, it is obvious that no attempt should be made on the
patient until further practice has shown a definite method of harmless
removal. During practice work the value of the beveled lip of the
bronchoscope and esophagoscope in solving mechanical problems will be
evidenced. With it alone, a foreign body may be turned into favorable
positions for extraction, and folds can always be held out of the way.
Sufficient combined practice with the bronchoscope and the forceps
enable the endoscopist easily to do things that at first seem
impossible. It is to be remembered that lateral motion of the long
slender tube-forceps cannot be controlled accurately by the handle,
this is obtained by a change in position of the endoscopic tube, the
object being so centered that it is grasped without side motion of the
forceps. When necessary, the distal end of the forceps may be pushed
laterally by the manipulation of the bronchoscope.
[FIG. 72.--A simple manikin. The weight of the small vise serves to
steady the rubber tubing. By the use of tubing of the size of the
invaded bronchus and a duplicate of the foreign body, any mechanical
problem can he simulated for solution or for practice, study of all
possible presentations, etc.]
Next: Practice On The Dog
Previous: Cadaver Practice