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Though not often fatal, this illness gives serious trouble. It...
Chloroform Or Ether (inhaled)
Fresh air. Pull tongue forward, and begin artificial respirati...
Difficulties Of Esophagoscopy
The beginner may find the esophagoscope seemingly rigidly fi...
Get a sufficient quantity of good bran in an ordinary washhand...
Often very serious trouble takes the form of simple overwhelmi...
Take B D current, strong force. Apply P. P. to the open blood...
The disease called Polypus, affecting the mouth or nostril wit...
Prognosis And Convalescence
The duration of acute endocarditis varies greatly; it may be ...
For healing wounds, burns, ulcers, irritation of mucous membr...
will often cure malignant ulcers both of the breast and uteru...
Scarlet-fever Or Scarlatina
is an eruptive fever, produced by a peculiar contagious poiso...
From The Hygienic Dictionary
Vitamins.  The staple foods may not contain the same nutr...
This is a contagious disease, consisting in an inflammation o...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
Care Of The Nails
Importance of Clean Nails. On account of their constant use, ...
Renal Calculi Gravel In The Kidneys
Take the A C current, of considerable force. Place N. P. low ...
These are often piled on the front of the body, while the far ...
Breath And Nerve
Difficult breathing, especially in ascending a hill, is often ...
Symptomatology And Treatment Of Chronic Valvular Lesions
Before discussing the treatment of broken compensation in gen...
Nervous Strain In Pain And Sickness
THERE is no way in which superfluous and dangerous te...
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