|The student may also get very great help in ascertaining details about the likely marriage of the person whose hands he is examining by the following: Fine Influence Lines seen joining the Line of Fate, relate to persons who come into and... Read more of Influence Lines To The Fate Line On The Mount Of Venus Connection With Marriage at Palm Readings.org|| Informational|
is valuable as a _palliative_ upon cancerous tumors. As a _cu...
It is rarely, if ever, advisable to use alcohol. In certain ...
Bronchoscopy In Malignant Growths Of The Trachea
The trachea is often secondarily invaded by malignancy of the...
These are of two kinds, the one purely imaginary, the other wh...
3 Treatment Of Torpid Forms Of Scarlatina Difference In The
TREATMENT POINTED OUT. When the _reaction_ is _torpid_, the ...
A whispering voice can always be had as long as air can pass...
Baths And Bathing
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The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves
When the neck is extended in surgical position, as seen in Pl...
To Prevent Bilious Fever Or Ague
Take _Podophyllin_, _Baptisia_ and _Gelseminum_ 1st in rotati...
Urgent dyspnea in diphtheria when no membrane and but slight...
Delirium In Fever
The best way of treating this truly distressing symptom is by ...
The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical ter...
The most striking symptom of diphtheria is the growth of a sub...
This is a disease of the skin, producing redness, burning and...
Technic Of Laryngeal Operations
Preparation of the patient and anesthesia have been mentione...
Palpitation Of The Heart
This is commonly a symptomatic or sympathetic affection--rare...
Neuralgia And Rheumatism Of The Heart
If neuralgia, use B D current; if rheumatism, use A D. In eit...
Brown recommends diluted _Acetic Acid_ as a specific against ...
The Surgical Dissection Of The Male Bladder And Urethra Lateral And Bilateral Lithotomy Compared
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Cicatricial Stenosis Of The Esophagus
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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