Smoke Free Places.ca - Information on the smokee free act Visit Smoke Free Places.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Of Fungous Ulcer Of The Navel In Infants

It sometimes occurs that a little fungous sore exists upon th...

Etiology Treatment

One has but to refer to the enumerated causes of irregular he...

Prussic Acid

Almost hopeless. Emetic; artificial respiration. ...

Other Bad Symptoms

These symptoms may present themselves with the rash standing ...

Children's Swellings

Sometimes these occur as merely relaxed tissue full of blood. ...

Polypus

See Nostrils. ...

Safety-pin Closer

There are a number of methods for the endoscopic removal of ...

Pleuroscopes

As mentioned above the anterior commissure laryngoscope and ...

Inflammation Of The Bowels - Enteritis

This consists in inflammation of the muscular and peritoneal ...

Anesthesia For Peroral Endoscopy

A dyspneic patient should never be given a general anesthetic...

Endoscopic Operations For Laryngeal Stenosis

Web formations may be excised with sliding punch forceps, or...

Auricular Fibrillation Auricular Flutter

Auricular fibrillation is at times apparently a clinical enti...

Punctures Case V

Mr. Cocking's son, aged 12, received a stab in the palm of th...

Cramp In The Stomach

This very severe trouble, though resisting ordinary methods of...

Heel Sprained

Often in sprains all attention is given to the bruised and tor...

Weakness

Often there follows, after the cure of an inflammatory disease...

Throat Sore

The first question in any case of sore throat, is, What is the...

Diseases Of The Esophagus

The more frequent causes of the one common symptom of esophag...

Interpretation Of Tracings

The interpretation of the arterial tracing shows that the nea...

Breath And Blood

Often difficulty of breathing, especially in close air, mistak...



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 1059