|A man in a hot air balloon realised he was lost. He reduced altitude and spotted a woman below. He descended a bit more and shouted, "Excuse me, can you help me? I promised a friend I would meet him an hour ago, but I don't know where I am." ... Read more of Hot air ballon ride at Free Jokes.ca|| Informational|
Medical ArticlesHands Dry And Hard
Pack the hands in SOAP LATHER (see) mixed with a little fine o...
Punctures Case Xi
Mrs. G. was bitten by a little dog on forefinger about a fort...
It is rarely, if ever, advisable to use alcohol. In certain ...
Extraction Of Foreign Bodies From The Strictured Esophagus
Foreign bodies of relatively small size will lodge in a stri...
Priessnitz's Method The Wet-sheet-pack
a remedy which, alone, is worth the whole antiphlogistic, dia...
Punctures Case Vi
A little boy, aged 12, received a stab by a penknife a few da...
Bandage Four-ply Flannel
The four-ply flannel bandage is simply what its name implies--...
Esophageal Foreign Body Symptoms
1. There are no absolutely diagnostic symptoms. 2. Dysph...
Scarlatina Simplex Or Simple Scarlet-fever
In the _mildest form_ of the disease, called _scarlatina simp...
This is substantially the same thing as trismus, except that ...
acts very beneficially when applied to the surface where ther...
Chlorosis Green Sickness
This is a disease mostly or entirely peculiar to young women ...
Fever Delirium In
See Delirium. ...
When a limb becomes swelled and white, pouring hot water very ...
Period Of Incubation Or Hatching
The time which passes between the reception of the contagious...
To Prevent Itch
A dose of _Sulphur_, or rubbing a little flour of sulphur on ...
I KNOW a woman who says that if she wants to get her ...
Tuberculosis Of The Tracheobronchial Tree
The bronchoscopic study of tuberculosis is very interesting,...
See Angina Pectoris. ...
Thorough heating, with moist heat is the best treatment for th...
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