In my little bed I lie: Heavenly Father, hear my cry; Lord, keep Thou me through this night. Bring me safe to morning light. Amen. ... Read more of In My Little Bed I Lie at Catholic Prayer.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Shampooing

See Head, Soaping. ...

Eyes Hazy Sight

Frequently, after inflammation, and even when that has ceased,...

Racks From Lifting

See Muscular Pains; Sprains. ...

The Effect Of Athletics On The Heart

We can no longer neglect the seriousness of the effects of c...

The Three Great Classes Of Food-fuel

Food is Fuel. Now what is the chief quality which makes one k...

The Fundamental Principle

If you are a true believer in any of the above food religions...

Hair Coming Off

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

Of Punctures Etc

In cases of recent punctured wounds the orifice and surroundi...

Diet For The Acutely Ill

The acutely ill person experiences occasional attacks of dist...

Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages

Initial symptoms are choking, gagging, coughing, and wheezing...

Our Relations With Others

EVERY one will admit that our relations to others sho...

Papilloma Forceps

Papillomata do not infiltrate; but superficial repullulation...

Throat Hoarseness

This is best treated by a good large BRAN POULTICE (see) on th...

Breath And The Skin

The organs of breathing remove much waste from the system, but...

Modifications Of Electricity

In the present stage of electric science, the conviction has ...

Mechanical Spoon

When soft, friable substances, such as a bolus of meat, beco...

Choice Of Time To Do Bronchoscopy For Foreign Body

The difficulties of removal usually increase from the time of...

Mind Training

IT will be plainly seen that this training of the bod...

Wet Compress

The wet compress on the throat in torpid cases should not be ...

Conclusive Remarks Obstacles

Before concluding my article, I shall attempt to remove a few...



Rules For Direct Laryngoscopy





Category: 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



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 880