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

The Child As An Ideal

WHILE the path of progress in the gaining of repose c...

Where There Is A Will There Is A Way!

I have been frequently compelled to resort to these milder ap...

Impossibility Of Answering For The Issue Of Every Typhoid Case

Although a _typhoid character_ of scarlatina will rarely set ...

The Journey Down The Food Tube

The Flow of Saliva and Appetite Juice. We are now ready to st...

Neck Twisted

This arises from the undue contraction of some of the muscles ...

Tartar Emetic Or Other Antimonial Poisons

If vomiting is not present, induce it by an emetic. Give doses...

The Repugnant Bowel

I don't know why, but people of our culture have a deep-seate...

Opium

As so many times repeated, real pain must be stopped, and mor...

Inward Rotation Method

When the point is found to be buried in the mucosa, the best...

Alcohol

How Alcohol is Made. The most dangerous addition that man has...

The Use Of The Brain

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

Wine And Water If No Reaction Can Be Obtained

Should the patient remain cold in his pack for longer than an...

Cayenne And Mustard

Mustard spread on a cold towel and applied to the spine or lum...

Coronary Sclerosis

While disease of the coronary arteries may occur without ge...

Menorrhagia - Profuse Menses - Flowing

For this affection, _Ipecac_ and _Hamamelis_ are the specific...

Curing With Enemas

It is not wise to continue regular colonics or enemas once a ...

Throat Sore

The first question in any case of sore throat, is, What is the...

The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi

Annular Edema Such objects as marbles, pebbles, corks, etc.,...

Appetite

Should be an indication that food in general or some certain k...

How To Sleep Restfully

IT would seem that at least one might be perfectly fr...



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 1015