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

Diet Is Not Enough

Those isolated, long-lived peoples discovered by Weston A. Pr...

Foods For Monodiet, Juice Or Broth Fasting

zucchini, garlic, onion, green beans, kale, celery, beet gree...

Ankle Swelling

When long continued in connection with disease or accident, th...

Measles

An attack of this disease generally begins with a feeling of w...

Endoscopy On The Human Being

Dog work offers but little practice in laryngoscopy. Because...

Etiology Treatment

A subacute or a chronic infective endocarditis should be trea...

The Confusions About Diets And Foods

Like my daughter, many people of all ages are muddled about t...

Compression Stenosis Of The Trachea And Bronchi

Compression of the trachea is most commonly caused by goiter...

Pleuroscopy For Disease

Most pleural diseases require a large external opening for d...

Eyes Paralysis Of

The partial paralysis of the muscles of one eye produces doubl...

The Use Of The Brain

LET us now consider instances where the brain alone i...

Benign Neoplasms Of The Esophagus

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

Clinical Interpretation Of Pulse Tracings

A moment may be spent on clinical interpretation of pulse tra...

Second Stage

The spatular end of the laryngoscope should now be tipped ba...

The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region

On comparing the bend of the knee with the bend of the elbow,...

The Effect Of Athletics On The Heart

We can no longer neglect the seriousness of the effects of c...

Demonstrations Of The Origin And Progress Of Inguinal Herniae In General

PLATE 41, Fig. 1.--When the serous spermatic tube is oblitera...

Endogastric Version

A very useful and comparatively safe method is illustrated i...

Pathology

If the foreign body completely obstructs a main bronchus, pr...

Bandaging

See Veins, Swollen, etc. ...



Treatment





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

Previous: Prognosis



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 855