|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesThe 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...
All endoscopic procedures should be performed in a somewhat ...
This is often a trivial matter, but sometimes it is a symptom ...
The Relative Position Of The Superficial Organs Of The Thorax And Abdomen
In the osseous skeleton, the thorax and abdomen constitute a ...
is valuable as a _palliative_ upon cancerous tumors. As a _cu...
IT will be plainly seen that this training of the bod...
At the outset, it must ever be remembered that this is not a d...
A little oil only should be applied to the skin at once. Any s...
Treatment Of Scarlatina Simplex Or Simple Scarlet-fever
_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...
Emetic; warm coffee, and even an enema of coffee. Artificial r...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
Although curative attributes were ascribed to the magnet in...
This is a disease of the skin, producing redness, burning and...
The Surgical Dissection Of The Sterno-clavicular Or Tracheal Region And The Relative Position Of Its Main Bloodvessels Nerves &c
The law of symmetry governs the development of all structures...
Ulcers Case Xxvi
The following case occurred in the person of a lady with vari...
Taking A Laryngeal Specimen For Diagnosis
The diagnosis of carcinoma, sarcoma, and some other conditio...
RELIEF from the mastery of an evil mood is like fresh air aft...
It is difficult to determine the presence of _worms_ in child...
When a limb becomes swelled and white, pouring hot water very ...
My Own 56 Day Long Fast
Fasters go through a lot of different emotional states, these...
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