|In the year 1680, at Lumley, a hamlet near Chester-le-Street in the county of Durham, there lived one Walker, a man well to do in the world, and a widower. A young relation of his, whose name was Anne Walker, kept his house, to the great s... Read more of Anne Walker at Scary Stories.ca|| Informational|
Medical ArticlesA Collection Of Gallbladders
Gallbladder cases are rather ho-hum to me; they are quick to ...
Proteins Or Meats
Proteins, the First Foods. There are proteins, or meats, both...
See Paralysis. ...
Is a disease springing from disordered digestion, and caused s...
Where persistent weariness is felt, and the least exertion bri...
Bandage Four-ply Flannel
The four-ply flannel bandage is simply what its name implies--...
Esophagoscopy is demanded in every case in which a foreign b...
A very useful and comparatively safe method is illustrated i...
List Of Instruments
The following list has been compiled as a convenient basis f...
(_Ague in the breast--Inflamed breast_.) This is a disease...
Flour, And Other Matters Relating To Seeds
One of the largest degradations to human health was caused by...
Length Of Pack
Usually it is time for the patient to come out from his pack,...
In order to prevent decay, the teeth should be carefully brush...
The Sitz-bath May Be Taken In A Small Wash-tub If There Is No
proper sitz-bath-tub at hand. It should be large enough to allo...
The venous pressure, after a long neglect, is now again being...
See Baths for Head. ...
Wounds And Bruises
On this subject, I must necessarily be very brief. When a wou...
The disease known by this name in Canada breaks out in the han...
This disease generally comes on at night, in hot weather, and...
If one put into his mouth nothing but food, foreign body acc...
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