|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesSymptoms Of Prolonged Foreign Body Sojourn In The Bronchus
1. The time of inhalation of a foreign body may be unknown ...
Use the A D current, strong force. Place the N. P., long cord...
The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels
In the human body there does not exist any such space as cavi...
WHEN we are tolerant as a matter of course, the nervous syste...
MOST mothers know that it is better for the baby to p...
Nursing Sore Mouth
Sore mouth of nursing women, as the name of the disease indic...
Lather How To Make
One of the most powerful soothing influences which can be had,...
Piles - Hemorrhoids
One important matter in all cases of habitual piles, is, to k...
Eyes Accidents To
Three distinct classes of these are to be considered. They req...
Foreign bodies rarely lodge in an upper-lobe bronchus, yet w...
Breast With Corded Muscles
Often a slight hardness shows itself in a woman's breast, when...
Children And Teachers
Children are of the utmost value to society; through any one o...
There is a vast variety of ailments associated with what is ca...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
The Digestive Process
After we have eaten our four-color meal--often we do this in ...
Bronchoscopy In Malignant Growths Of The Trachea
The trachea is often secondarily invaded by malignancy of the...
Memory Loss Of
A more or less complete suspension of this faculty is a not un...
Punctures Case Viii
This case illustrates the mode of treatment by the lunar caus...
Boiled potatoes beaten up with fresh buttermilk make an excell...
For this the treatment may be given as in gastric fever, and, ...
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
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
11. The patient must be instructed to breathe deeply and quietly
without making a sound.
Next: Difficulties Of Direct Laryngoscopy
Previous: Second Stage