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

Children And Teachers

Children are of the utmost value to society; through any one o...

Conclusive Remarks Obstacles

Before concluding my article, I shall attempt to remove a few...

The Surgical Dissection Of The Subclavian And Carotid Regions The Relative Anatomy Of Their Contents

A perfect knowledge of the relative anatomy of any of the s...

Breath And Nerve

Difficult breathing, especially in ascending a hill, is often ...

Nerves Spinal

The spinal cord is continuous with the back part of the brain....

The Cause Of Disease

Ever since natural medicine arose in opposition to the violen...

Auricular Fibrillation Pathology

Schoenberg [Footnote: Schoenberg: Frankfurt. Ztschr. f. Patho...

Complications Following Esophagoscopy

These are to be avoided in large measure by the exercise of ...

Telephones And Telephoning

MOST men--and women--use more nervous force in speaki...

Auricular Fibrillation Auricular Flutter

Auricular fibrillation is at times apparently a clinical enti...

Emergency Tracheotomy

Stabbing of the cricothyroid membrane, or an attempted stabb...

The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae

The order in which the herniary bowel takes its investments f...

Jaundice

This disease, or its approach, may be known by several signs: ...

Seamill Sanatorium And Hydropathic

Very soon after the appearance of these "Papers on Health," th...

Delirium In Fever

The best way of treating this truly distressing symptom is by ...

Mind Training

IT will be plainly seen that this training of the bod...

Auricular Fibrillation Prognosis

The prognosis depends on the condition of the myocardium of t...

Myocarditis Fibrous Management

The advice he should receive is well understood: to avoid phy...

Diets To Heal The Critically Ill

A critically ill person is someone who could expire at any mo...

Fever Rheumatic

This results from severe damp chills, usually following exhaus...



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 910