Medical ArticlesPiles - Hemorrhoids
One important matter in all cases of habitual piles, is, to k...
Acute Cardiac Symptoms Acute Heart Attack
It is not proposed here to describe the condition of sudden...
Chloride Of Lime
About the same opinion may be given on _Chloride of Lime_. As...
Continued coldness of the feet gives rise to many more serious...
Oxygen Tank And Tracheotomy Instruments
Respiratory arrest may occur from shifting of a foreign body,...
Foreign Bodies In The Insane
Foreign bodies may be introduced voluntarily and in great nu...
If the disease be recent and acute, (but not infectious), as ...
Often this comes as the result of a chill, or of enfeeblement ...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
Myocarditis Fibrous Management
The advice he should receive is well understood: to avoid phy...
The Prime Rules Of Fasting
Another truism of natural hygiene is that we dig our own grav...
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...
Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the...
In a variety of cases, more or less severe spasmodic pains are...
The Surgical Dissection Of The Male Bladder And Urethra Lateral And Bilateral Lithotomy Compared
Having examined the surgical relations of the bladder and adj...
Mind In Disease
Often a person, because of physical failure, becomes possessed...
A most effective preventive and cure for this is the inhaling ...
Heart Disease In Children And During Pregnancy
A common characteristic in a large proportion of middle-age...
The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae
The order in which the herniary bowel takes its investments f...
This is a disease of children. Comes on in consequence of a s...
The Use Of Forceps In Endoscopic Foreign Body Extraction
Category: MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Two different strengths of forceps are supplied, as will be seen in the
list in Chapter 1. The regular forceps have a powerful grasp and are
used on dense foreign bodies which require considerable pressure on
the object to prevent the forceps from slipping off. For more delicate
manipulation, and particularly for friable foreign bodies, the lighter
forceps are used. Spring-opposed forceps render any delicacy of touch
impossible. Forceps are to be held in the right hand, the thumb in one
ring, and the third, or ring finger, in the other ring. These fingers
are used to open and close the forceps, while all traction is to be
made by the right index finger, which has its position on the forceps
handle near the stylet, as shown in Fig. 78. It is absolutely
essential for accurate work, that the forceps jaws be seen to close
upon the foreign body. The impulse to seize the object as soon as it
is discovered must be strongly resisted. A careful study of its size,
shape, and position and relation to surrounding structures must be
made before any attempt at extraction. The most favorable point and
position for grasping having been obtained, the closed forceps are
inserted through the bronchoscope, the light reflex obtained, the
forceps blades now opened are turned in such a position that, on
advancing, the foreign body will enter the open V, a sufficient
distance to afford a good grasp. The blades are then closed and the
foreign body is drawn against the tube mouth. Few foreign bodies are
sufficiently small to allow withdrawal through the tube, so that tube,
forceps and foreign body are usually withdrawn together.
[FIG. 78.--Proper hold of forceps. The right thumb and third fingers
are inserted into the rings while the right index finger has its place
high on the handle. All traction is made with the index finger, the
ring fingers being used only to open and close the forceps. If any
pushing is deemed safe it may be done by placing the index finger back
of the thumb-nut on the stylet.]
Next: Anchoring The Foreign Body Against The Tube Mouth
Previous: The Light Reflex On The Forceps