I am the center of gravity, hold a capital situation in Vienna, and as I am foremost in every victory, am allowed by all to be invaluable. Though I am invisible, I am clearly seen in the midst of a river. I could name three who are in love with me an... Read more of I am the center of gravity, at Free Jokes.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Bathing

The surface of the body should be kept clean, as far as possi...

Angina Pectoris Symptoms

The pain of true angina pectoris generally starts in the regi...

Freshness Of Fruits And Vegetables

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

Esophageal Foreign Body Symptoms

1. There are no absolutely diagnostic symptoms. 2. Dysph...

Spasmodic Stenosis Of The Esophagus

Etiology - The functional activity of the esophagus is depend...

Etiology

One of the most common causes of hypertension is clue to exce...

The Coal Foods

Kinds of Coal Foods. There are many different kinds of Coal...

Burns Case Xxxiii

A little girl, aged 10, scalded her breast a week ago and has...

Nuts

How Nuts should be Used. Another form of fat is the meat of ...

Shock

The treatment of shock will probably always be unsatisfactory...

Epidemics

The key to action in case of epidemics prevailing in the distr...

Hair Coming Off

There are many forms of this disfiguring trouble, both in the ...

Stings Of Insects

The effect produced by the sting of Bees, Wasps, and Hornets ...

Fever Typhoid

Treat as under Fever, Gastric, and Fever. In addition, great c...

Nerves Shaken

By this we mean, not the nerve trouble which follows a sudden ...

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...

Fever Gastric

In this fever, now known as a form of Typhoid, the disease spr...

Itch

See Rash. ...

Other Lesions

Tricuspid insufficiency, except as rarely found in the fetus,...

Hepatization Of Lungs

Take A D current, pretty strong force. Treat in front, over t...



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 1659