. Modern surgery, general and operative. h it.(Authors case.) Extreme care is necessary to avoid tearing the bronchi in the use of forceps,and especially in the extrication of entangled pointed foreign bodies such astacks, nails, pins, safety-pins, etc. In all cases of pointed objects (which arealmost invariably point upward) great care is necessary to extricate the pointfirst and to get it into the tube-mouth before any traction is made; otherwisethe slightest traction will cause the point to rip in, and crosswise fixationwill not only defeat removal but will rupture the bronchial wall and re
. Modern surgery, general and operative. h it.(Authors case.) Extreme care is necessary to avoid tearing the bronchi in the use of forceps,and especially in the extrication of entangled pointed foreign bodies such astacks, nails, pins, safety-pins, etc. In all cases of pointed objects (which arealmost invariably point upward) great care is necessary to extricate the pointfirst and to get it into the tube-mouth before any traction is made; otherwisethe slightest traction will cause the point to rip in, and crosswise fixationwill not only defeat removal but will rupture the bronchial wall and resultalmost certainly in death from mediastinal emphysema or septic cardinal rule is that no harm should be done and if gentle methods are Chevalier Jacksons Direct Laryngoscopy, Bronchoscopy, etc. 1003 not successful, in say 25 minules in case of children, further effort should bepostponed for a week, when another radiograph should be made and anewbronchoscopic effort may be made. While it is true that if not removed a. Fig. 636.—Radiograph of a boy, aged eleven years, showing nail that had been in lung forabout four years, producing all the symptoms of bronchiectasis. Bronchoscopic removal ofthe foreign body without anesthesia resulted in complete cure.
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