While working on a sermon the pastor heard a knock at his office door. "Come in," he invited. A sad-looking man in threadbare clothes came in, pulling a large pig on a rope. "Can I talk to you for a minute?" asked the ma... Read more of Frog Story at Free Jokes.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Eye

How the Eye is Made. Next in importance after the smell and t...

Nourishment

Nothing is more required in healing than properly to nourish t...

Punctures Case Viii

This case illustrates the mode of treatment by the lunar caus...

Ankylosis

Fixation of the crico-arytenoid joints with an approximation...

Tolerance

WHEN we are tolerant as a matter of course, the nervous syste...

Appetite

Should be an indication that food in general or some certain k...

Trismus Lockjaw

For traumatic trismus, use the B D current, of vigorous force...

Paroxysm Management

The immediate conditions to meet are the rapid fluttering hea...

Morning Sickness Of Pregnant Females

The most efficient and certain remedy for this symptom is _Ma...

Prussic Acid

Almost hopeless. Emetic; artificial respiration. ...

The Nails

How the Nails are Made. Another trade, which our wonderful sk...

Decannulation After Cure Of Laryngeal Stenosis

In order to train the patient to breathe again through the la...

Diseases And Disturbances Of The Skin

Their Chief Causes. Skin troubles are of two main kinds accor...

Resume Of Emergency Tracheotomy

The following notes should be memorized. 1. Essentials: Kn...

Diet

As intimated in the preceding paragraph, the diet during end...

The Three Great Classes Of Food-fuel

Food is Fuel. Now what is the chief quality which makes one k...

Local Applications

That medicines act locally, that is, manifest their symptoms ...

Acute Stenosis Of The Larynx

Etiology.--Causes of a relatively sudden narrowing of the lum...

Conclusive Remarks Obstacles

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

Cold Affusions And Rubbing

After the pack, the patient is placed in an empty bathing or ...



Resume Of Emergency Tracheotomy





Category: TRACHEOTOMY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The following notes should be memorized.
1. Essentials: Knife and pair of hands (but full equipment better).
[295] 2. Don't do a laryngotomy, or stabbing.
3. Two stage, finger guided operation better.
4. Sand bag or substitute.
5. Press back danger lines with left thumb and middle finger, making
safety line and trachea prominent.
6. Memorize Jackson's tracheotomic triangle.
7. Incise exactly in middle line from Adam's apple to sternum.
8. Feel for tracheal corrugations with left index in pool of blood,
following trachea with finger downward from superficial Adam's apple.
9. Pass knife along index and incise trachea (not too deeply, may
cut posterior wall).
10. Don't mind bleeding; but keep middle line and keep head
straight; keep head low; don't bother about thyroid gland.
11. Don't expect hiss when trachea is cut if patient has stopped
breathing.
12. Start artificial respiration.
13. Amyl nitrite. Oxygen.
14. Practice palpation of the neck until the tracheal landmarks are
familiar.
15. Practice above technic, up to point of incision, at every
opportunity.
16. Jackson's tracheotomic triangle: A triangulation of the front
of the neck intended to facilitate a proper emergency tracheotomy.
Apex at suprasternal notch.
Sides anterior edge sternomastoids.
Base horizontal line lower edge cricoid.





Next: Resume Of After-care Of A Tracheotomic Case

Previous: Resume Of Tracheotomy



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 1699