This term is applied so loosely and so indiscriminately to al...
Diet And Corpulence
A tendency to obesity should always be carefully checked by at...
Nephritis Inflammation Of Kidneys
1. Acute. If the urinary secretion be reddish and scant, with...
Sources of Starch. The starches are valuable and wholesome fo...
is small pox modified by vaccination. It is to be treated as ...
Anything which tends to increase the acidity of the tissues a...
Where cold is easily "taken," it is the skin which is defectiv...
Why Fuss So Much About What I Eat?
I KNOW a woman who insisted that it was impossible fo...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
The Surgical Dissection Of The Male Bladder And Urethra Lateral And Bilateral Lithotomy Compared
Having examined the surgical relations of the bladder and adj...
_Nux Vomica_ should be used once in about four hours, for twe...
Treatment Of Cicatricial Stenosis
A careful direct endoscopic examination is essential before ...
See Children's Sleep. ...
Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of ...
List Of Instruments
The following list has been compiled as a convenient basis f...
A healthy man usually evacuates about 30-40 ozs. of urine dail...
Ulcers Case Xxv
The following case illustrates the superior efficacy of the l...
See Hearing. ...
The Surgical Dissection Of The Fifth Sixth Seventh And Eighth Layers Of The Inguinal Region And Their Connexion With Those Of The Thigh
When we remove the internal oblique and cremaster muscles, we...
Endoscopy In Malignant Disease Of The Larynx
The general surgical rule applying to individuals past middle...
The Fulcrum Of The Bronchoscopic Lever Is At The Upper Thoracic Aperture
Category: INTRODUCTION OF THE BRONCHOSCOPE
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Disregard of this rule will cause
subglottic edema and will limit the lateral motion of the tip of the
bronchoscope. It is the function of the assistant to make the head and
neck follow the direction of the proximal end of the bronchoscope and
thus avoid any pressure on the larynx (see Peroral Endoscopy, Fig.
135, p. 164).
In passing down the trachea the following two rules must be kept in
1. Before attempting to enter either main bronchus the carina must
2. Before entering either main bronchus the orifices of both should
be identified and inspected.
The carina is identified as a sharp vertical spur (recumbent
patient) at the distal end of the trachea, on either side of which are
the openings of the main bronchi. As the carina is situated to the
left of the midline of the trachea, the lip of the bronchoscope should
be turned toward the left, and slight lateral pressure should be made
on the left tracheal wall while the head of the patient is held
slightly to the right. This will expose the left bronchial orifice and
Next: Entering The Bronchi
Previous: Examination Of The Trachea And Bronchi