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

Sea-sickness

The cause of this is a nervous derangement of the internal org...

Iron

It is essential for the welfare of the patient, especially af...

Cold Cloths

See Towels, Cold Wet. ...

Period Of Eruption Or Appearing Of The Rash

Commonly, on the second day, towards evening, sometimes on th...

Eyes Squinting

Various affections of the eyeball muscles cause this. To cure ...

Nervousness

This frequent and distressing trouble is to be traced to a sta...

Mineral Acids And Glacial Acetic

If any neutralising agent, such, e.g., as lime, chalk, soda, o...

The Dissection Of Femoral Hernia And The Seat Of Stricture

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

Cures Losing Their Effect

After a fortnight's treatment often matters seem to come to a ...

Is Physical Culture Good For Girls?

A NUMBER of women were watching a game of basket-ball...

Removal Of Growth From The Laryngeal Ventricle

After exposing the larynx in the usual manner, if the head i...

Freshness Of Fruits And Vegetables

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

Inflammation Of The Lungs - Pneumonia

This disease is often connected with Pleurisy, and consists o...

Soapy Blanket The

It seems necessary, in getting people to use the best means fo...

Artistic Considerations

ALTHOUGH so much time and care are given to the vario...

Length Of The Fast

How long should a person fast? In cases where there are serio...

Impossibility Of Answering For The Issue Of Every Typhoid Case

Although a _typhoid character_ of scarlatina will rarely set ...

Decannulation

When the tracheal incision is placed below the first ring, n...

Nursing Over

Few vital processes are more remarkable than that by which foo...

Burns

For slight burns, immerse the injured part in cold water, and ...



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 1028