VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Healing Influence Of Music

Dubito, an omnia, quae de incantamentis dicuntur c...

Liver The

Where biliousness prevails, without any symptom of real liver ...

Bronchoscopic Appearances In Disease

The first look should note the color of the bronchial mucosa...

Bronchoscopic And Esophagoscopic Grasping Forceps

are of the tubular type, that is, a stylet carrying the jaws...

The Dissection Of Femoral Hernia And The Seat Of Stricture

Whilst all forms of inguinal herniae escape from the abdomen ...

Liquorice

See Constipation. ...

Chapped Hands

Our idea is that this is caused by the soda in the soap used. ...

Nervous Attacks

What we call, for want of a better name, "nerve force," or "ne...

Limbs Uncontrollable

This trouble is found in the double form; first, of limbs whic...

Symptomatology And Treatment Of Chronic Valvular Lesions

Before discussing the treatment of broken compensation in gen...

Prejudice Of Physicians Against The Water-cure

The greatest, and the most serious, difficulty lies in the pr...

Flatulence

This is the accumulation of gases in the body, usually caused ...

Symptoms

Dysphagia is the most frequent complaint in cases of esophag...

Freshness Of Fruits And Vegetables

Most people do not realize the crucial importance of freshnes...

The Power Of Words

In every word there is a magic influence, and each word ...

Facts

In 1845-46 there was an epidemic in Dresden, a city of 100,00...

Cooking

Why We Cook our Food. While some of all classes of food may...

Punctures Case Ix

James Joynes, aged 12, was bitten by an ass, on each side of ...

Common Colds

Take the B D Faradaic current--moderate strength. If the affe...

Dropsy

This trouble is rather a symptom than a disease. It rises from ...



Removal Of Foreign Bodies From The Larynx





Category: MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Symptoms and Diagnosis.--The history of a sudden choking attack
followed by impairment of voice, wheezing, and more or less dyspnea
can be usually elicited. Laryngeal diphtheria is the condition most
frequently thought of when these symptoms are present, and antitoxin
is rightly given while waiting for a positive diagnosis. Extreme
dyspnea may render tracheotomy urgently demanded before any attempts
at diagnosis are made. Further consideration of the symptomatology and
diagnosis of laryngeal foreign body will be found on pages 128, 133
and 143.

Preliminary Examination.--In the adult, mirror examination of the
larynx should be done, the patient being placed in the recumbent
position. Whenever time permits roentgenograms, lateral and
anteroposterior, should be made, the lateral one as low in the neck as
possible. One might think this an unnecessary procedure because of the
visibility of the larynx in the mirror; but a child's larynx cannot
usually be indirectly examined, and even in the adult a pin may be so
situated that neither head nor point is visible, only a portion of the
shaft being seen. The roentgenogram will give accurate information as
to the position, and will thus allow a planning of the best method for
removal of the foreign body. A bone in the larynx usually is visible
in a good roentgenogram. Accurate diagnosis in children is made by
direct laryngoscopy without anesthesia, but direct laryngoscopy should
not be done until one is prepared to remove a foreign body if found,
to follow it into the bronchus and remove it if it should be dislodged
and aspirated, and to do tracheotomy if sudden respiratory arrest
occur.

[157] Technic of Removal of Foreign Bodies from the Larynx.--The
patient is to be placed in the author's position, shown in Fig. 53. No
general anesthesia should be given, and the application of local
anesthesia is usually unnecessary and further, is liable to dislodge
and push down the foreign body.* Because of the risk of loss downward
it is best to seize the foreign body as soon as seen; then to
determine how best to disimpact it. The fundamental principles are
that a pointed object must either have its point protected by the
forceps grasp or be brought out point trailing, and that a flat object
must be so rotated that its plane corresponds to the sagittal plane of
the glottic chink. The laryngeal grasping forceps (Fig. 53) will be
found the most useful, although the alligator rotation forceps (Fig.
31) may occasionally be required.

* In adolescents or adults a few drops of a 4 per cent solution of
cocain applied to the laryngopharynx with an atomizer or a dropper
will afford the minimum risk of dislodgement; but the author's
personal preference is for no anesthesia, general or local.





Next: Mechanical Problems Of Bronchoscopic Foreign Body Extraction*

Previous: Complications And After-effects Of Bronchoscopy



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 986