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| The Rev. D. W. G. Gwynne, M.D., was a physician in holy orders. In 1853 he lived at P--- House, near Taunton, where both he and his wife "were made uncomfortable by auditory experiences to which they could find no clue," or, in common English,... Read more of "put Out The Light!" at Scary Stories.ca | Informational Privacy |
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Medical ArticlesPunctures Case VMr. Cocking's son, aged 12, received a stab in the palm of th... The Development Of Allergies There are three ways a body can become allergic. (1) It can h... Rheumatism Chronic Use the A D current always in rheumatic affections. If there ... Tests Of Heart Strength If both systolic and diastolic blood pressure are taken, and ... The Healing Crisis And Retracing Certain unpleasant somatics that occur while fasting (or whil... Cholera Morbus This disease generally comes on at night, in hot weather, and... The Surgical Dissection Of The Wrist And Hand A member of such vast importance as the human hand necessaril... Sores These will be found dealt with under many headings throughout ... Nerves Spinal The spinal cord is continuous with the back part of the brain.... Thumb Bruised And Broken Frequently a tradesman will strike the thumb or finger a serio... Punctures Case Ix James Joynes, aged 12, was bitten by an ass, on each side of ... Food In Illness Light, easily digested food is of the first importance in many... Bronchoscopic Oxygen Insufflation Bronchoscopic oxygen insufflation is a life-saving measure eq... Highly Inflamed Throat Croup If the _throat_ is in a highly inflamed condition, repeated p... Training For Motion "IN every new movement, in every unknown attitude nee... Mustard Oil Where this is recommended the cold-drawn oil is meant, not the... Taking A Laryngeal Specimen For Diagnosis The diagnosis of carcinoma, sarcoma, and some other conditio... Etiology Treatment A subacute or a chronic infective endocarditis should be trea... Instruments For Direct Laryngoscopy In undertaking direct laryngoscopy one must always be prepar... Van Helmont JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s... |
TreatmentCategory: 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
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