Steels are known by certain tests. Early tests were more or less crude, and depended upon the ability of the workman to judge the grain exhibited by a freshly broken piece of steel. The cold-bend test was also very useful--a small bar was bent ... Read more of Properties Of Steel at Steel Making.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Nerve Shock

After a fright, or some very trying experience, some part of t...

Where The Temperature Is Too Low That Is Below 98-2/5 Deg

rub all over with warm olive oil, and clothe in good soft flan...

The Woman At The Next Desk

IT may be the woman sewing in the next chair; it may ...

Delirium In Fever

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

Stage I Entering The Right Pyriform Sinus

The operator standing (as in Fig. 66), inserts the esophagos...

Chronic Endocarditis

It is not easy to decide just whew all acute endocarditis has...

Unconsciousness

There are two opposite causes of unconsciousness. One is conge...

One's Self

TO be truly at peace with one's self means rest indeed. Th...

Tucker Forceps

Gabriel Tucker modified the regular side-curved forceps by a...

Opium

See Narcotics. ...

Stage 4 Passing Through The Hiatus Esophageus

When the head is dropped, it must at the same time be moved ...

The Surgical Dissection Of The Principal Bloodvessels And Nerves Of The Iliac And Femoral Regions

Through the groin, as through the axilla, the principal blood...

To Prevent Diarrhoea

Where it is prevailing as an _epidemic_, _Ipecac_ at night, a...

Oxygen Tank And Tracheotomy Instruments

Respiratory arrest may occur from shifting of a foreign body,...

The Use Of The Brain

LET us now consider instances where the brain alone i...

Scald Head

of children, where there is a discharge of yellow and watery ...

Symptoms Of Tracheal And Bronchial Foreign Body

1. Tracheal foreign bodies are usually movable and their mo...

Stimulants

See Alcohol; Narcotics. ...

Bruises Case Xvi

J. Jennings, bricklayer, aged 26, fell through the roof of a ...

Water Hot

The frequent prescription in these papers of hot water, to be ...



Resume Of Tracheotomy





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

Instruments.
Headlight
Sandbag
Scalpel
Hemostats
Small retractors
Tenaculum
Tracheotomic cannulae (proper kind)
Long.
Half area cross-section trachea.
Proper curve: Radius too short will press ant. tracheal wall; too
long, post. wall.
Sterling Silver
Tracheobronchial aspirator.
Probe.
Tapes for cannulae
Trousseau dilator
Sponges
Infiltration syringe and solution
Oxygen tank.

Indications: Laryngeal dyspnea.
(Indrawing guttural and clavicular fossae and at epigastrium.
Pallor. Restlessness. Drowning in his own secretions.)

Do it early. Don't wait for cyanosis.
[294] Never use general anesthesia on dyspneic patient.
Forget about high and low distinctions until trachea is exposed.
Memorize Jackson's tracheotomic triangle.
Patient recumbent, sand bag under shoulders or neck. Nose to zenith.
Infiltration, Intradermatic.
Incise from Adam's apple to guttural fossa.
Hemostasis.
Keep in middle line.
Feel for trachea.
Expose isthmus of thyroid gland.
Draw it upward or downward or cut it.
Ligature, torsion, etc. before incising trachea.
Hold trachea with tenaculum.
Incise trachea below first ring.
Avoid cutting cricoid or first ring. Cut 3 rings vertically. Don't
hack. Don't cut posterior wall which almost touches the anterior wall
during cough. Spread carefully, with Trousseau dilator.
Insert cannula; see it enter tracheal lumen; remove pilot; tie
tapes.
Don't suture wound. Dress with large squares.
Don't give morphine.
Decannulation by corking partially, after changing to smaller
cannula.
Do not remove cannula permanently until patient sleeps without
indrawing with corked cannula.





Next: Resume Of Emergency Tracheotomy

Previous: Decannulation



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 925