|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesAbscess Of The Lung
If of foreign-body origin, pulmonary abscess almost invariab...
Nursing Sore Mouth
Sore mouth of nursing women, as the name of the disease indic...
The venous pressure, after a long neglect, is now again being...
Balance Loss Of
Cases where loss of balance in walking and standing are due to...
Wounds And Bruises
On this subject, I must necessarily be very brief. When a wou...
If the circulation of air is necessary in any other form of ...
The Child As An Ideal
WHILE the path of progress in the gaining of repose c...
Technic Of Specular Esophagoscopy
Recumbent patient. Boyce position. The larynx is to be expos...
A sensation sometimes very much annoys patients, which they de...
See Bleeding; Wounds. ...
This, in various forms, as brandy, whiskey, rum, wine, cordial...
The lodgement of foreign bodies in the esophagus is influenc...
The treatment of shock will probably always be unsatisfactory...
General Tonic Treatment
Take the B D current, (A D is very good), of fair medium stre...
Milk, Meat, And Other Protein Foods
Speaking of butter, how about milk? The dairy lobby is very p...
Vitamins For Young Persons And Children
Young healthy people from weaning through their thirties shou...
During an epidemic of scarlatina in 1836 two of my children w...
Complications Following Esophagoscopy
These are to be avoided in large measure by the exercise of ...
Site Of Lodgment
The majority of foreign bodies in the air passages occur in ...
While this name is more or less unfortunate, it has long been...
Resume Of Tracheotomy
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Tracheotomic cannulae (proper kind)
Half area cross-section trachea.
Proper curve: Radius too short will press ant. tracheal wall; too
long, post. wall.
Tapes for cannulae
Infiltration syringe and solution
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.
 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.
Incise from Adam's apple to guttural fossa.
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
Don't suture wound. Dress with large squares.
Don't give morphine.
Decannulation by corking partially, after changing to smaller
Do not remove cannula permanently until patient sleeps without
indrawing with corked cannula.
Next: Resume Of Emergency Tracheotomy