|Effect: You put a card in your pocket, and one in the spectator's hand. Then the cards change places. Card Trick: Pick up two cards from the top of the deck and make them look as if they were one (double lift). Show it to the audience, say th... Read more of Card Transposition at Card Trick.ca|| Informational|
Medical ArticlesKidney Complaints
See Urinary Troubles. ...
The surface of the body should be kept clean, as far as possi...
See Child-bearing. ...
To Prevent Diarrhoea
Where it is prevailing as an _epidemic_, _Ipecac_ at night, a...
is a specific when locally used for _Sycosis_, also for fungo...
Rubbing Sheet Substitute For The Half-bath
It cannot be difficult to procure a wash-tub. Should you be s...
Take the B D Faradaic current--moderate strength. If the affe...
Continuation Of Packs Convalescence
Whether the eruption appear or not, the packs should be conti...
Plain Every-day Common Sense
PLAIN common sense! When we come to sift everything d...
See Fever, Typhoid. ...
The key to action in case of epidemics prevailing in the distr...
If an attack comes on from sudden cold, take _Aconite_ and _I...
The Inward And The Outward Current
I have already said that when the conducting-cords are of equ...
Mineral Acids In Case Of Severe Sore-throat
In case the throat be very troublesome, there cannot be any o...
Acute esophagitis calls for rest in bed, sterile liquid food...
Drugs In Hypertension
The drugs that are mostly used to lower blood pressure are ni...
of children, where there is a discharge of yellow and watery ...
See Whooping Cough. ...
The Black Hole of Calcutta is an object lesson of how necessary...
A mother who has had strength to bear a child is, as a rule, q...
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