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

Abscess 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...

Venous Pressure

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...

Ventilation All-important

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...

Skin Creeping

A sensation sometimes very much annoys patients, which they de...

Haemorrhage

See Bleeding; Wounds. ...

Alcohol

This, in various forms, as brandy, whiskey, rum, wine, cordial...

Etiology

The lodgement of foreign bodies in the esophagus is influenc...

Shock

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...

Cases

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 ...

Pseudo-angina

While this name is more or less unfortunate, it has long been...



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 1084