No dyspneic patient should be given a general anesthetic; be...
Inflammation Of The Bowels - Enteritis
This consists in inflammation of the muscular and peritoneal ...
Skin A Wintry
Something like an epidemic of skin trouble is often experience...
A Rampaging Infection
At the age of 40, John, an old bohemian client of mine, came ...
Plain Every-day Common Sense
PLAIN common sense! When we come to sift everything d...
Structure and Action of the Heart. Now what is it that keeps ...
Menorrhagia - Profuse Menses - Flowing
For this affection, _Ipecac_ and _Hamamelis_ are the specific...
Remedial Virtues Ascribed To Relics
A relic has been defined as an object held in reverence or ...
It is well to bear in mind that there is scarcely any nourishm...
Myocarditis Fibrous Symptoms And Signs
The symptoms of chronic myocardial degeneration are progressi...
Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patien...
Punctures Case Ii
Mrs. Middleton, aged 40, wounded her wrist, on the ulnar side...
Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart ...
Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should ...
The cause of an irregularly acting heart in an adult may be o...
It has been estimated that 70 per cent of stenoses of the es...
The dilatation of cicatricial stenosis of the esophagus can ...
This is the accumulation of gases in the body, usually caused ...
Action Balance Of
An excellent guide to the proper treatment of any case is to b...
Skin eruptions, known under this name, have very various cause...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Gabriel Tucker modified the regular side-curved
forceps by adding a lip (Fig. 21) to the left hand side of both upper
and lower jaws. This prevents the shaft of a tack, nail, or pin, from
springing out of the grasp of the jaws, and is so efficient that it
has brought certainty of grasp never before obtainable. With it the
solution of the safety-pin problem devised by the author many years
ago has a facility and certainty of execution that makes it the method
of choice in safety-pin extraction.
[FIG. 22.--The author's down-jaw esophageal forceps. The dropping jaw
is useful for reaching backward below the cricopharyngeal fold when
using the esophageal speculum in the removal of foreign bodies.
Posterior forceps-spaces are often scanty in cases of foreign bodies
lodged just below the cricopharyngeus.]
[FIG. 23.--Expansile forceps for the endoscopic removal of hollow
foreign bodies such as intubation tubes, tracheal cannulae, caps, and
Screw forceps.--For the secure grasp of screws the jaws devised by
Dr. Tucker for tacks and pins are excellent (Fig. 21).
Expanding Forceps.--Hollow objects may require expanding
forceps as shown in Fig. 23. In using them it is necessary to be
certain that the jaws are inside the hollow body before expanding them
and making traction. Otherwise severe, even fatal, trauma may be
[FIG. 24.--The author's fenestrated peanut forceps. The delicate
construction with long, springy and fenestrated jaws give in gentle
hands a maximum security with a minimum of crushing tendency.]
[FIG. 25--The author's bronchial dilators, useful for dilating
strictures above foreign bodies. The smaller size, shown at the right
is also useful as an expanding forceps for removing intubation tubes,
and other hollow objects. The larger size will go over the shaft of a
[FIG. 26.--The author's self-expanding bronchial dilator. The extent of
expansion can be limited by the sense of touch or by an adjustable
checking mechanism on the handle. The author frequently used smooth
forceps for this purpose, and found them so efficient that this
dilator was devised. The edges of forceps jaws are likely to scratch
the epithelium. Occasionally the instrument is useful in the
esophagus; but it is not very safe, unless used with the utmost
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