Medical ArticlesUlcers Case Xxiv
The following case must not be regarded as altogether triflin...
Food In Illness
Light, easily digested food is of the first importance in many...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
Ulcers Case Xxiii
Mr. Marshall, aged 60, had a troublesome ulcer under the oute...
A NURSE who had been only a few weeks in the hospital...
Length Of Pack
Usually it is time for the patient to come out from his pack,...
Bruises Case Xix
Robert Hill, aged 16, received a blow yesterday from a bone w...
During the process of healing, wounds often give a great deal ...
SYMPATHY, in its best sense, is the ability to take another's...
1. "Nervous headache." Take the B D current--moderate force. ...
If a person has been long accustomed to a slow-acting heart, ...
Autodrownage is the name given by the author to the drowning...
Breath And The Heart
Stout people are usually more or less "scant of breath." Accum...
MOST mothers know that it is better for the baby to p...
The Digestive System
How the Food Reaches the Stomach. Our body, then, has an open...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
Diet And Baths In Heart Disease
The diet in cardiac diseases has already incidentally been ...
Precautions To Be Observed
As long as compensation is complete, there are no medication ...
Fatty degeneration of the heart muscle may be caused by acute...
Treatment Of Acute And Subacute Inflammation And Ulceration Of The Esophagus
Bismuth subnitrate in doses of about one gramme, given dry o...
Removal Of Double Pointed Tacks
Category: MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
If the tack or staple be small,
and lodged in a relatively large trachea a version may be done. That
is, the staple may be turned over with the hook or rotation forceps
and brought out with the points trailing. With a long staple in a
child's trachea the best method is to coax the intruder along gently
under ocular guidance, never making traction enough to bury the point
deeply, and lifting the point with the hook whenever it shows any
inclination to enter the wall. Great care and dexterity are required
to get the intruder through the glottis. In certain locations, one or
both points may be turned into branch bronchi as illustrated in Fig.
88, or over the carina into the opposite main bronchus. Another method
is to get both points into the tube-mouth. This may be favored, as
demonstrated by my assistant, Dr. Gabriel Tucker, by tilting the
staple so as to get both points into the longest diameter of the
tube-mouth. In some cases I have squeezed the bronchoscope in a vise
to create an oval tube-mouth. In other cases I have used expanding
forceps with grooved blades.
[FIG. 88.-Schema illustrating podalic version of bronchially-lodged
staples or double-pointed tacks. H, bronchoscope. A, swollen mucosa
covering points of staple. At E the staple has been manipulated upward
with bronchoscopic lip and hooks until the points are opposite the
branch bronchial orifices, B, C. Traction being made in the direction
of the dart (F), by means of the rotation forceps, and counterpressure
being made with the bronchoscopic lip on the points of the staple, the
points enter the branch bronchi and permit the staple to be turned
over and removed with points trailing harmlessly behind (K).]
Next: The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi
Previous: Removal Of Open Safety Pins From The Trachea And Bronchi