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Take B D current, moderate force. Treat exactly as in spermat...
_Nux Vomica_ should be used once in about four hours, for twe...
Ankle Twisted Or Crushed
Place the foot as soon as possible in warm water, as hot as ca...
Renal Calculi Gravel In The Kidneys
Take the A C current, of considerable force. Place N. P. low ...
The use of these to give temporary relief, often degenerating ...
Punctures Case Viii
This case illustrates the mode of treatment by the lunar caus...
Is now known to be conveyed by the bite of a certain kind of m...
Punctures Case Vii
Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...
Readily identified by smell of tar or carbolic. Wash mouth wel...
This is a disease of children. Comes on in consequence of a s...
Paralysis Of The Esophagus
The passage of liquids and solids through the esophagus is a ...
It has long been known that altitude increases the heart rate...
Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of ...
The prognosis is very uncertain. This infirmity is often cure...
Inflammation Of The Bowels
See Bowels. ...
Interpretation Of Tracings
The interpretation of the arterial tracing shows that the nea...
At Nauheim, under the direction of Dr. Theodore Schott, baths...
By this we mean, not the nerve trouble which follows a sudden ...
A sensation sometimes very much annoys patients, which they de...
This trouble is often only aggravated and made chronic by the ...
Category: UNSUCCESSFUL BRONCHOSCOPY FOR FOREIGN BODIES
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Bronchoscopy should be done in all cases of chronic
pulmonary abscess and bronchiectasis even though radiographic study
reveals no shadow of foreign body. The patient by assuming a posture
with the head lowered is urged to expel spontaneously all the pus
possible, before the bronchoscopy. The aspirating bronchoscope (Fig.
2, E) is often useful in cases where large amounts of secretion may be
anticipated. Granulations may require removal with forceps and
sponging. Disturbed granulations result in bleeding which further
hampers the operation; therefore, they should not be touched until
ready to apply the forceps, unless it is impossible to study the
presentation without disturbing them. For this reason secretions
hiding a foreign body should be removed with the aspirating tube (Fig.
9) rather than by swabbing or sponge-pumping, when the bronchoscopic
tube-mouth is close to the foreign body. It is inadvisable, however,
to insert a forceps into a mass of granulations to grope blindly for a
foreign body, with no knowledge of the presentation, the forceps
spaces, or the location of branch-bronchial orifices into which one
blade of the forceps may go. Dilatation of a stricture may be
necessary, and may be accomplished by the forms of bronchial dilators
shown in Fig. 25. The hollow type of dilator is to be used in cases in
which the foreign body is held in the stricture (Fig. 83). This
dilator may be pushed down over the stem of such an object as a tack,
and the stricture dilated without the risk of pushing the object
downward. It is only rarely, however, that the point of a tack is
free. Dense cicatricial tissue may require incision or excision.
Internal bronchotomy is doubtless, a very dangerous procedure,
though no fatalities have occurred in any of the three cases in the
Bronchoscopic Clinic. It is advisable only as a last resort.
Next: Unsuccessful Bronchoscopy For Foreign Bodies