ANON Once in Royal David's city Stood a lowly cattle shed, Where a mother laid her baby In a manger for His bed. Mary was that mother mild, Jesus Christ that little child. He came down to earth fro... Read more of Christmas at Christmas Story.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

How To Conquer Consumption

Different Forms of Tuberculosis. The terrible disease tubercu...

Neuralgia

If the disease be general in the system, moving from place to...

Mild Reaction Erethic

If the poison is not virulent, and the body of the patient in...

Fruits And Vegetables

The Special Uses of Fruits and Vegetables. We come now to t...

Mind In Disease

Often a person, because of physical failure, becomes possessed...

The Distinctive Diagnosis Between External And Internal Inguinal Herniae The Taxis The Seat Of Stricture And The Operation

A comparison of the relative position of these two varieties ...

Limbs Inflamed

Entirely different treatment from the above is needed for such...

Agrippa

HEINRICH CORNELIUS AGRIPPA VON NETTESHEIM, a German alchemist...

Coughs

These will be found treated under the various heads of Colds, ...

To Prevent Bilious Fever Or Ague

Take _Podophyllin_, _Baptisia_ and _Gelseminum_ 1st in rotati...

Legs Pricking Pains In

Sometimes curious pricking pains are felt in the legs, becomin...

The Teeth The Ivory Keepers Of The Gate

Why the Teeth are Important. The teeth are a very important...

Children In Fever

Fevered children, whether in any actual fever, as scarlet, typ...

Sitz-bath Anchor Of Safety

If there be much delirium, the sitz-bath may be required long...

Hepar Sulphur

is a specific for _Itch and Scald Head,_ applied in form of a...

Carbuncle

See Boil. ...

How Women Can Keep From Being Nervous

MANY people suffer unnecessarily from "nerves" just...

Diagnosis

If a more malignant form of endocarditis develops on a mild ...

Throat Sore (clergyman's)

Those who are in the habit of using their voice much should be...

Conditions Causing Change In Blood Pressure

Woolley [Footnote: Woolley, P. G.: Factors Governing Vascular...



The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi





Category: MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Annular Edema

Such objects as marbles, pebbles, corks, etc., are
drawn deeply and with force by the inspiratory blast into the smallest
bronchus they can enter. The air distal to the impacted foreign body
is soon absorbed, and the negative pressure thus produced increases
the impaction. A ring of edematous mucosa quickly forms and covers the
presenting part of the object, leaving visible only a small surface in
the center of an acute edematous stenosis. A forceps with narrow,
stiff, expansive-spring jaws may press back a portion of the edema and
may allow a grasp on the sides of the foreign body; but usually the
attempt to apply forceps when there are no spaces between the
presenting part of the foreign body and the bronchial wall, will
result only in pushing the foreign body deeper.* A better method is to
use the lip of the bronchoscope to press back the swollen mucosa at
one point, so that a hook may be introduced below the foreign body,
which then can be worked up to a wider place where forceps may be
applied (Fig. 89). Sometimes the object may even be held firmly
against the tube mouth with the hook and thus extracted. For this the
unslanted tube-mouth is used.

* The author's new ball forceps are very successful with ball-bearing
balls and marbles.

[FIG. 89.--Schema illustrating the use of the lip of the bronchoscope
in disimpaction of foreign bodies. A and B show an annular edema above
the foreign body, F. At C the edematous mucosa is being repressed by
the lip of the tube mouth, permitting insinuation of the hook, H, past
one side of the foreign body, which is then withdrawn to a convenient
place for application of the forceps. This repression by the lip is
often used for purposes other than the insertion of hooks. The lip of
the esophagoscope can be used in the same way.]





Next: Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree

Previous: Removal Of Double Pointed Tacks



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 893