|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesAdditional Rules For The Treatment Of Eruptive Diseases
In all these eruptive diseases, especially small-pox, all I h...
This is a dangerous, and with the ordinary allopathic treatme...
Distinctive Use Of Each Pole
I have said that every disease is preternaturally either posi...
Bronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure eq...
See Consumption. ...
Although curative attributes were ascribed to the magnet in...
This is a severe pain in the lower back, shooting sharply down...
Precautions To Be Observed
As long as compensation is complete, there are no medication ...
Practice On The Dog
Having mastered the technic of introduction on the cadaver a...
The author wishes to caution the reader not to rely merely on...
The simplest, best, and safest source of current is a double...
Diagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? ...
Hurry, Worry, And Irritability
PROBABLY most people have had the experience of hurry...
Glands Of Bowels
See Bowels. ...
Ulcers Case Xxv
The following case illustrates the superior efficacy of the l...
Punctures Case Vi
A little boy, aged 12, received a stab by a penknife a few da...
Strangulation Or Hanging
Often accidentally caused in children or intoxicated persons. ...
JOHANN JOSEPH GASSNER, who was regarded as a thaumaturge by h...
Inflammation Of The Bowels
See Bowels. ...
Limb Saving A
The proper growth of the body in any part depends on the power...
Category: INTRODUCTION OF THE ESOPHAGOSCOPE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Passing the cricopharyngeus is the most difficult part of
esophagoscopy, especially if the patient is unanesthetized. Local
anesthesia helps little, if at all. The handle of the esophagoscope is
still pointing upward and consequently we are sure that the lip of the
esophagoscope is directed anteriorly. Force must not be used, but
steady firm pressure against the tonically contracted cricopharyngeus
is made, while at the same time the distal end of the esophagoscope is
lifted by the left thumb. At the first inspiration a lumen will
usually appear in the upper portion of the endoscopic field. The tip
of the esophagoscope enters this lumen and the slanted end slides over
the fold of the cricopharyngeus into the cervical esophagus. There is
usually from 1 to 3 cm. of this constricted lumen at the level of the
cricopharyngeus and the subjacent orbicular esophageal fibers.
 [FIG. 67.--Schematic illustration of the author's high-low
method of esophagoscopy. In the first and second stages the patient's
head fully extended is held high so as to bring it in line with the
thoracic esophagus, as shown above. The Rose position is shown by way
[FIG. 68.--Schematic illustration of the anatomic basis for difficulty
in introduction of the esophagoscope. The cricoid cartilage is pulled
backward against the cervical spine, by the cricopharyngeus, so
strongly that it is difficult to realize that the cricopharyngeus is
not inserted into the vertebral periosteum instead of into the median
[FIG. 69.--The upper illustration shows movements necessary for
passing the cricopharyngeus.
The lower illustration shows schematically the method of finding the
pyriform sinus in the author's method of esophagoscopy. The large
circle represents the cricoid cartilage. G, Glottic chink,
spasmodically closed; VB, ventricular band; A, right arytenoid
eminence; P, right pyriform sinus, through which the tube is passed in
the recumbent posture. The pyriform sinuses are the normal food
Next: Stage 3 Passing Through The Thoracic Esophagus
Previous: Stage I Entering The Right Pyriform Sinus