|Effect: One of six cards is selected from the magician. It is then counted off and placed into the middle of the deck. Spectator tells magician when the pile is large enough, he then holds cards. Magician slaps cards from his hand and only one remain... Read more of Slap Happy at Card Trick.ca|| Informational|
Medical ArticlesEsophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for th...
The study of the blood pressure has become a subject of gre...
The Electric Circuit
The Electric Circuit is made up of any thing and every thing ...
As so many times repeated, real pain must be stopped, and mor...
Varioloids And Chicken-pocks
_Varioloids_ and _Chicken-pocks_, are treated in the same man...
Training For Motion
"IN every new movement, in every unknown attitude nee...
This trouble is rather a symptom than a disease. It rises from ...
Cardiovascular Renal Disease Arrhythmia
While this terns really signifies irregularity and intermit...
Take Care Of Your Stomach
WE all know that we have a great deal to do. Some of ...
AS far as we make circumstances guides and not limitations, t...
Where the juices and organs of the body are thoroughly healthy,...
Morning Sickness Of Pregnant Females
The most efficient and certain remedy for this symptom is _Ma...
VALENTINE GREATRAKES was born at Affane, County of Waterford,...
Treatment Of Broken Compensation
The consideration of this subject will include the following ...
Emetic; warm coffee, and even an enema of coffee. Artificial r...
The Popularity of Beverages. For some curious reason, the h...
How the Nails are Made. Another trade, which our wonderful sk...
Felon - Whitlow
For this disease, in the early stage, when the sensation is t...
Take the B D Faradaic current--moderate strength. If the affe...
Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different ...
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
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