To understand the physiology, pathology and the best treatmen...
Rules For Endoscopic Foreign Body Extraction
1. Never endoscope a foreign body case unprepared, with the...
Head Skin Of The
The nerves of sensibility are very largely supplied to the ski...
During And After Desquamation The Treatment Should Be Continued As
indicated in milder cases, except the throat continue troubleso...
Ulceration Of The Esophagus
Superficial erosions of the esophagus are by no means an unco...
Torpid Reaction Asthenic
The more violent the contagious poison, and the weaker the or...
Rubbing Sheet Substitute For The Half-bath
It cannot be difficult to procure a wash-tub. Should you be s...
It is not easy to decide just whew all acute endocarditis has...
See Indigestion. ...
No dyspneic patient should be given a general anesthetic; be...
Difficulties In The Introduction Of The Bronchoscope
The beginner may enter the esophagus instead of the trachea:...
Punctures Case Vi
A little boy, aged 12, received a stab by a penknife a few da...
The Organic Versus Chemical Feud
Now, regrettably, and at great personal risk to my reputation...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
Instruments For Direct Laryngoscopy
In undertaking direct laryngoscopy one must always be prepar...
Continuation Of Packs Convalescence
Whether the eruption appear or not, the packs should be conti...
It is difficult to determine the presence of _worms_ in child...
Suppression Of The Menses Amenorrhoea
For sudden suppression from taking cold, as by wetting the ...
Secondary Eliminations Are Disease
However the exact form the chain from irritation or malnutrit...
TO be truly at peace with one's self means rest indeed. Th...
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
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