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| I had given a glass ball to the wife of a friend, whose visions proved so startling and on one occasion so unholy that she ceased to make experiments. One day my friend's secretary, a young student and golfer, took up the ball. "I see a fie... Read more of The Cow With The Bell at Scary Stories.ca | Informational Privacy |
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Medical ArticlesAcquiring SkillEndoscopic ability cannot be bought with the instruments. As ... Scurvy Is a disease springing from disordered digestion, and caused s... The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity The median line of the body is occupied by the centres of the... Pneumonia Take B D current, forceful as the patient can bear, and treat... Cancers Cancers take on a variety of forms, distinguished by differen... Rules For The Application Of Water In Typhoid Cases As a general rule, in typhoid cases, bathing should form one ... Bronchitis This frequent and severe trouble results most usually from chi... Fomentation Some general remarks on this important treatment we give here.... Painful Menstruation Elsie was twenty. She came to see me because I had helped Els... Climate And Soil The soil on which one lives is a matter of primary importance;... Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi Should _putrid symptoms_ make their appearance (21), I would ... Most Diseases Cure Themselves If you ask any honest medical doctor how they cure diseases, ... Santolina This plant is the Chama Cyparissos, or ground cypress. It is o... Fever In all fevers, to cool down the excessive heat of the patient ... Paroxysmal Tachycardia Management There is no specific treatment for paroxysmal tachycardia. Wh... Home Methods Of Purifying Water Boiling. Where the water that you are obliged to drink is not... Guaiacum This drug is a West Indian gum, and is one of those remedies w... Van Helmont JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s... Hemorrhage Take B D current, strong force. Apply P. P. to the open blood... To Prevent Yellow Fever Take _Aconite_, _Belladonna_ and _Macrotin_, 1st in rotation ... |
Rules For Direct LaryngoscopyCategory: DIRECT LARYNGOSCOPY Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery 1. The laryngoscope must always be held in the left hand, never in the right. 2. The operator's right index finger (never the left) should be used to retract the patient's upper lip so that there is no danger of pinching the lip between the instrument and the teeth. 3. The patient's head must always be exactly in the middle line, not rotated to the right or left, nor bent over sidewise; and the entire head must be forward with extension at the occipitoatloid joint only. 4. The laryngoscope is inserted to the right side of the anterior two-thirds of the tongue, the tip of the spatula being directed toward the midline when the posterior third of the tongue is reached. 5. The epiglottis must always be identified before any attempt is made to expose the larynx. 6. When first inserting the laryngoscope to find the epiglottis, great care should be taken not to insert too deeply lest the epiglottis be overridden and thus hidden. 7. After identification of the epiglottis, too deep insertion of the laryngoscope must be carefully avoided lest the spatula be inserted back of the arytenoids into the hypo-pharynx. 8. Exposure of the larynx is accomplished by pulling forward the epiglottis and the tissues attached to the hyoid bone, and not by prying these tissues forward with the upper teeth as a fulcrum. 9. Care must be taken to avoid mistaking the ary-epiglottic fold for the epiglottis itself. (Most likely to occur as the result of rotation of the patient's head.) 10. The tube should not be retained too long in place, but should be removed and the patient permitted to swallow the accumulated saliva, which, if the laryngoscope is too long in place, will trickle down the trachea and cause cough. (Swallowing is almost impossible while the laryngoscope is in position.) The secretions may be removed with the aspirator. 11. The patient must be instructed to breathe deeply and quietly without making a sound. Next: Difficulties Of Direct Laryngoscopy Previous: Second Stage
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