InformationalPrivacy
| There was once a farmer who had a son named Will, and he sent him out in the world to learn a trade and seek his fortune. Now he hadn't gone far when he was stopped by a band of robbers who called out to him: "Your purse or your life!" A... Read more of The Master Thief at Children Stories.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Forgotten Remedies |
Search |
Medical ArticlesForeign Bodies In The InsaneForeign bodies may be introduced voluntarily and in great nu... Where The Temperature Is Too Low That Is Below 98-2/5 Deg rub all over with warm olive oil, and clothe in good soft flan... The Heart In Pneumonia As pneumonia heads the list of the causes of death in this co... Operating Room All endoscopic procedures should be performed in a somewhat ... Pulse Counting The Most valuable information as to the nature and progress of dis... Angioneurotic Edema Angioneurotic edema involving the esophagus, may produce int... The Habit Of Illness IT is surprising how many invalids there are who have... Unfavorable Symptoms are: A fetid breath, with ulceration and sloughing of the thr... Diet Economy In Dr. Hutchison, one of our greatest authorities on the subject ... Glands Swollen This is a very common trouble, especially in the young. To res... Indications Esophagoscopy is demanded in every case in which a foreign b... Feet Giving Way Where there is a great deal of standing to be done by any one,... General Tonic Treatment Take the B D current, (A D is very good), of fair medium stre... Band Flannel A piece of fine new flannel made to cover the whole back, and ... Hysteria This is usually brought on by some excessive strain upon the b... The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity The median line of the body is occupied by the centres of the... Pleurisy This is inflammation of the Pleura of one or both lungs, gene... Laryngoscopes The regular type of laryngoscope shown in Fig. I (A, B, C) i... Infections And How To Avoid Them What Causes Disease. The commonest and most dangerous acciden... Conium is valuable as a _palliative_ upon cancerous tumors. As a _cu... |
Preparation Of The Patient For Peroral EndoscopyCategory: ANESTHESIA FOR PERORAL ENDOSCOPY Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery The suggestions of the author in the earlier volumes in regard to preparation of the patient, as for any operation, by a bath, laxative, etc., and especially by special cleansing of the mouth with 25 per cent alcohol, have received general endorsement. Care should be taken not to set up undue reaction by vigorous scrubbing of gums unaccustomed to it. Artificial dentures should be removed. Even if no anesthetic is to be used, the patient should be fasted for five hours if possible, even for direct laryngoscopy in order to forestall vomiting. Except in emergency cases every patient should be gone over by an internist for organic disease in any form. If an endolaryngeal operation is needed by a nephritic, preparatory treatment may prevent laryngeal edema or other complications. Hemophilia should be thought of. It is quite common for the first symptom of an aortic aneurysm to be an impaired power to swallow, or the lodgment of a bolus of meat or other foreign body. If aneurysm is present and esophagoscopy is necessary, as it always is in foreign body cases, to be fore-warned is to be forearmed. Pulmonary tuberculosis is often unsuspected in very young children. There is great danger from tracheal pressure by an esophageal diverticulum or dilatation distended with food; or the food maybe regurgitated and aspirated into the larynx and trachea. Therefore, in all esophageal cases the esophagus should be emptied by regurgitation induced by titillating the fauces with the finger after swallowing a tumblerful of water, pressure on the neck, etc. Aspiration will succeed in some cases. In others it is absolutely necessary to remove food with the esophagoscope. If the aspirating tube becomes clogged by solid food, the method of swab aspiration mentioned under bronchoscopy will succeed. Of course there is usually no cough to aid, but the involuntary abdominal and thoracic compression helps. Should a patient arrive in a serious state of water-hunger, as part of the preparation the patient must be given water by hypodermoclysis and enteroclysis, and if necessary the endoscopy, except in dyspneic cases, must be delayed until the danger of water-starvation is past. As pointed out by Ellen J. Patterson the size of the thymus gland should be studied before an esophagoscopy is done on a child. Every patient should be examined by indirect, mirror laryngoscopy as a preliminary to peroral endoscopy for any purpose whatsoever. This becomes doubly necessary in cases that are to be anesthetized. Next: Anesthesia For Peroral Endoscopy Previous: Direction Of The Esophagus
Viewed 2057 |
|||||||||||||
