Protection... "By the dragons light, on this (month) night, I call to thee to give me your might, by the power of three, I conjure thee, to protect all that, surrounds me, so mote it be, so mote it be!!! Protection... Read more of Protection Spells at White Magic.caInformational Site Network Informational


Medical Articles

Mother's Remedies

Household Tips

Medicine History

Forgotten Remedies


Medical Articles

The Future Of Life Extension

I beg the readers indulgence for a bit of futurology about wh...


This is a contagious disease, consisting in an inflammation o...

Functional Hiatal Stenosis Hiatal Esophagismus Phrenospasm Diaphragmatic Pinchcock Stenosis

There is no sphincteric muscular arrangement at the cardiac o...

Prognosis And Convalescence

The duration of acute endocarditis varies greatly; it may be ...

Head Massaging The

This is so important in many cases of neuralgia, headache, and...

Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree

The difficulties here consist in the liability of crushing or...

From The Hygienic Dictionary

Diagnosis. [1] In the United States, making a diagnosis impli...

Nature's Teaching

NATURE is not only our one guide in the matter of phy...


Often there follows, after the cure of an inflammatory disease...

Burns Case Xxxiii

A little girl, aged 10, scalded her breast a week ago and has...

Unfavorable Symptoms

are: A fetid breath, with ulceration and sloughing of the thr...

Quacks And Quackery

Quackery and the love of being quacked, are in human nat...


During rheumatism the peripheral blood vessels are generally ...

Angina Pectoris Symptoms

The pain of true angina pectoris generally starts in the regi...

Thumb Bruised And Broken

Frequently a tradesman will strike the thumb or finger a serio...

Menorrhagia - Profuse Menses - Flowing

For this affection, _Ipecac_ and _Hamamelis_ are the specific...

Acetic Acid

Brown recommends diluted _Acetic Acid_ as a specific against ...

The Triviality Of Trivialities

LIFE is clearer, happier, and easier for us as things assume ...

Introduction Of The Bronchoscope

No one should do bronchoscopy until he is able to expose the ...

Urinary Troubles

A healthy man usually evacuates about 30-40 ozs. of urine dail...


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.]

[32] 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.

Next: Mouth-gag

Previous: Aspirating Tubes

Add to Add to Reddit Add to Digg Add to Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network

Viewed 1155