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The regular type of laryngoscope shown in Fig. I (A, B, C) i...
Acute esophagitis calls for rest in bed, sterile liquid food...
Destruction Of The Organ Of Hearing
When the glands pass into a sloughing state, the parts connec...
The most successful procedure in the management of intestinal...
Food And Mental Power
Unsuitable or ill-cooked food has a most serious effect on the...
The Popularity of Beverages. For some curious reason, the h...
Few things have so great and distressing effect as the fear of...
Thorough heating, with moist heat is the best treatment for th...
The Malignant Forms Of Scarlet-fever
are caused by the character of the epidemy, but, perhaps, mor...
At Nauheim, under the direction of Dr. Theodore Schott, baths...
One has but to refer to the enumerated causes of irregular he...
Actinomycosis Of The Esophagus
Esophageal actinomycosis has been autoptically discovered. It...
The Surgical Dissection Of The Principal Bloodvessels And Nerves Of The Iliac And Femoral Regions
Through the groin, as through the axilla, the principal blood...
An expectant mother should lead a quiet, orderly and healthful...
Mineral Acids Muriatic Acid Prescriptions
have also been used with good effect in some epidemics. _Muri...
Take B D current, forceful as the patient can bear, and treat...
Aortic narrowing or stenosis is a frequent occurrence in the ...
Removal Of Foreign Bodies From The Larynx
Symptoms and Diagnosis.--The history of a sudden choking atta...
Extent Of Electric Agency
When we have settled upon the position that the electricity o...
This is a name applied to pain in the region of the heart cau...
Rules For Insertion Of The Catheter For Insufflation Anesthesia
Category: BRONCHOSCOPIC OXYGEN INSUFFLATION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
1. The patient should be fully under the anesthetic by the open
method so as to get full relaxation of the muscles of the neck.
2. The patient's head must be in full extension with the vertex
firmly pushed down toward the feet of the patient, so as to throw the
neck upward and bring the occiput down as close as possible beneath
the cervical vertebrae.
3. No gag should be used, because the patient should be sufficiently
anesthetized not to need a gag, and because wide gagging defeats the
exposure of the larynx by jamming down the mandible.
4. The epiglottis must be identified before it is passed.
5. The speculum must pass sufficiently far below the tip of the
epiglottis so that the latter will not slip.
6. Too deep insertion must be avoided, as in this case the speculum
goes posterior to the cricoid, and the cricoid is lifted, exposing the
mouth of the esophagus, which is bewildering until sufficient
education of the eye enables the operator to recognize the landmarks.
7. The patient's head is lifted off the table by the spatular tip of
the laryngoscope. Actual lifting of the head will not be necessary if
the patient is fully relaxed; but the idea of lifting conveys the
proper conception of laryngeal exposure (Fig. 55).
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Previous: Technic For General Anesthesia