VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Benign Neoplasms Of The Esophagus

As a result of prolonged inflammation edematous polypi and gr...

Tobacco

Smoking, a Senseless Habit. Smoking is the curious act of dra...

Nourishment Cold In

If a person is in fever, and is burning with internal heat, a ...

The Blood Vessels

Where the Body Does its Real Eating. When once the food has b...

Resume Of After-care Of A Tracheotomic Case

1. Always bear in mind that tracheotomy is not an ultimate ...

Rose

See Erysipelas. ...

Blood Pressure In Children

May Michael, [Footnote: Michael, May: A Study of Blood Pressu...

Bowels Locking Of

Sometimes when one part of the bowels is much more active than...

Chilblains

These occur in hands and feet where the circulative power is f...

Action Balance Of

An excellent guide to the proper treatment of any case is to b...

Aspirating Tubes

Independent aspirating tubes involve delay in their use as c...

Treatment Of Acute And Subacute Inflammation And Ulceration Of The Esophagus

Bismuth subnitrate in doses of about one gramme, given dry o...

Memory Loss Of

A more or less complete suspension of this faculty is a not un...

Pain Severe In Limbs

This is often not due to any trouble in the joint itself, but ...

Bleeding

In any case of this pack the feet and legs as directed in Lung...

Health And Money

It will be noticed that the remedies we recommend are in almos...

Stage I Entering The Right Pyriform Sinus

The operator standing (as in Fig. 66), inserts the esophagos...

Dr Jerome Kidder's Electro-magnetic Machine

On opening the machine-box, as it comes from the manufacturer...

Wounds Syringing

Very great good can often be done by a little careful syringin...

Nourishment Heat In

Heat is absorbed in building up the bodily tissues, and given ...



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 884