Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Diet For A Healthy Person

I doubt that it is possible to be totally healthy in the twen...

Foreign Bodies In The Bronchi For Prolonged Periods

The sojourn of an inorganic foreign body in the bronchus for ...

Fever Influenza

This is a slow, smouldering kind of fever. For treatment, pack...

Esophageal Foreign Body

After initial choking and gagging, or without these, there m...

Sudden Invasion Of The Nervous Centres

Of the different forms of scarlatina maligna the most dangero...

From The Hygienic Dictionary

Cure. [1] There is no "cure" for disease; fasting is not a cur...

Necessity Of Allaying The Heat

The packs and baths should be continued, even when the patien...

The Ammonium Carbonicum

recommended by Peart, has been considered by many as a specif...

Children's Nerves

The nervous system of children is often damaged by shock or fr...

Second Stage

The spatular end of the laryngoscope should now be tipped ba...

Cardiovascular Renal Disease

With the strennousness of this era, this disease or conditi...

Roentgenray Study In Foreign Body Cases

Roentgenography.--All cases of chest disease should have the ...

How To Sleep Restfully

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

Esophagoscopy For Foreign Body

...

Food Combining And "healthfood Junkfood"

This brings us to a topic I call healthfood junkfood. Many pe...

Weight Loss By Fasting

Loss of weight indicates, almost guarantees, that detoxificat...

The Coal Foods

Kinds of Coal Foods. There are many different kinds of Coal...

Philosophy Of Disease And Cure

In every part of the animal economy, polar derangements in th...

Treatment

If pneumonia or gonorrhea is supposed to be the cause of the ...

Mineral Acids And Glacial Acetic

If any neutralising agent, such, e.g., as lime, chalk, soda, o...



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 1195