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An expectant mother should lead a quiet, orderly and healthful...
THERE is more nervous energy wasted, more nervous str...
It is customary to locate esophageal lesions by denoting the...
Brown recommends diluted _Acetic Acid_ as a specific against ...
Knee Swelling Of Or Pain In
For ordinary slight injuries, complete rest, and rubbing with ...
Chronic Back Pain
Barry was a carpenter who couldn't afford to lose work becaus...
To wisely alter and arrange the treatment in any case is of th...
Sometimes mere internal inflammation is mistaken for this dise...
Cancers take on a variety of forms, distinguished by differen...
Nothing is more required in healing than properly to nourish t...
The Digestive System
How the Food Reaches the Stomach. Our body, then, has an open...
Sleep And Rest
Why We Need Rest. A most important element in a life of healt...
A few of the anatomical details must be kept especially in mi...
The Anti-gastric Method
consisting in the free use of emetics or purgatives, has been...
Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by...
Rheumatism Acute Inflammatory
First ascertain if the kidneys be morbidly positive--urine sc...
Recent Wounds Contusions And Burns
Use the B D current, strong force as can be borne. Bring the ...
While the usually thin, watery esophageal and gastric secret...
For traumatic trismus, use the B D current, of vigorous force...
Often, in the young, the bones are so soft that they bend more...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
While the usually thin, watery esophageal and
gastric secretions, if free from food, are readily aspirated through a
drainage canal, the secretions of the bronchi are often thick and
mucilaginous and aspirated with difficulty. Further-more, bronchial
secretions as a rule are not collected in pools, but are distributed
over the walls of the larger bronchi and continuously well up from
smaller bronchi during cough. The aspirating bronchoscopes should be
used whenever their very slight additional area of cross-section is
unobjectionable. In most cases, however, the most advantageous way to
remove bronchial secretion has been found to be by introducing a gauze
swab on a long sponge carrier (Fig. 14), so that the sponge extends
beyond the distal end of the bronchoscope, causing cough. Then
withdrawal of the sponge carrier will remove all of the secretion in
the tube just as the plunger in a pump will lift all of the water
above it. By this maneuver the walls of the bronchus are wiped free
from secretions, and the lamp itself is cleansed.
[FIG. 14.--Sponge carrier with long collar for carrying the small
sponges shown in Fig. 15. The collar screws down as in the Coolidge
cotton carrier. About a dozen of these are needed and they should all
be small enough to go through the 4 mm. (diameter) bronchoscope and
long enough to reach through the 53 cm. (length) esophagoscope, so
that one set will do for all tubes. The schema shows method of
sponging. The carrier C, armed with the sponge, S, when rotated as
shown by the dart, D, wipes the field, P, at the same time wiping the
lamp, L. The lamp does not need ever to be withdrawn for cleaning
during bronchoscopy. It is protected in a recess so that it does not
catch in the sponges.]
[FIG 15.--Exact size to which the bandage-gauze is cut to make
endoscopic sponges. Each rectangle is the size for the tubal diameter
given. The dimensions of the respective rectangles are not given
because it is easier for the nurse or any one to cut a cardboard
pattern of each size directly from this drawing. The gauze rectangles
are folded up endwise as shown at A, then once in the middle as at B,
then strung one dozen on a safety pin. In America gauze bandages run
about 16 threads to the centimeter. Different material might require a
slightly different size and the pattern could be made to suit.]
 The gauze sponges are made by the instrument nurse as directed in
Fig. 15, and are strung on safety pins, wrapped in paper, the size
indicated by a figure on the wrapper, and then sterilized in an
autoclave. The sterile packages are opened only as needed. These
bronchoscopic sponges are also made by Johnston and Johnston, of New
Brunswick, N. J. and are sold in the shops.
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