Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Erysipelas

Take the A. D. current, medium force, in all forms of the dis...

Paroxysmal Tachycardia

This condition is generally termed by the patient a "palpitat...

Chronic Back Pain

Barry was a carpenter who couldn't afford to lose work becaus...

Small-pox

_Small-pox_, by far the most dangerous of them, has found a b...

Pseudo-angina

While this name is more or less unfortunate, it has long been...

Ballooning Esophagoscopy

By inserting the window plug shown in Fig. 6 the esophagus m...

Trauma

The chief traumatic factors in chronic laryngeal stenosis ar...

The Heart In Pneumonia

As pneumonia heads the list of the causes of death in this co...

Bowels Locking Of

Sometimes when one part of the bowels is much more active than...

Wounds Syringing

Very great good can often be done by a little careful syringin...

Throat Sore (clergyman's)

Those who are in the habit of using their voice much should be...

Etiology Pathology

If a chronic endocarditis has followed an acute condition, so...

Beef Tea

It is well to bear in mind that there is scarcely any nourishm...

Diet

The composition of different articles of food varies. A turnip ...

Varieties Of Forms Of Scarlatina

The above is the description of scarlet-fever, as it most fre...

Children

WORK for the better progress of the human race is most effect...

Bromids And Chloral

If there is much restlessness and the circulation is good, th...

Mammary Abscess

(_Ague in the breast--Inflamed breast_.) This is a disease...

Stoutness

See Breath, and the Heart. ...

Treatment Of Scarlatina Simplex Or Simple Scarlet-fever

_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...



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 Informational Site Network
Report
Privacy
ADD TO EBOOK


Viewed 1938