Peroral endoscopy and laryngeal surgery . e-cause of the smallness of the tube, it does not apply to the introduc-tion of tlie bronchoscope by ihe auiluns method, because of the largediameter of the authors laryngoscope for infants (12 mm.). This sizeis [jossible because the laryngoscope by the authors method does not gothrough the larynx—simply exposes its upper orifice to view. Once tiielarynx is properly exposed there should be no diriicuity in introducingeven the 4 mm. tube. This is not mentioned jjoastfully nor as urginghasty procedure: but rather to urge the necessity of abundant practic
Peroral endoscopy and laryngeal surgery . e-cause of the smallness of the tube, it does not apply to the introduc-tion of tlie bronchoscope by ihe auiluns method, because of the largediameter of the authors laryngoscope for infants (12 mm.). This sizeis [jossible because the laryngoscope by the authors method does not gothrough the larynx—simply exposes its upper orifice to view. Once tiielarynx is properly exposed there should be no diriicuity in introducingeven the 4 mm. tube. This is not mentioned jjoastfully nor as urginghasty procedure: but rather to urge the necessity of abundant practicein left-handed larxngoscopic exposure of the glottis. Ol Till-; nUONCHOSCOPK, SITTING. Ior the nitroduclion of the bronchoscope in the sitting position, thepatient is usually locally anesthetized, the details for which are givenin a sc])arate cliai)ter. This position is advisable only in adults and onlyfor diagnosis. The position of operator, patient and assistants is pre- 156 INTRODUCTION OF TEIK Fig. i,;i.—Schema illustrating oral bronchoscopy. The portion of the tablehere shown under the head is, in actual work, dropped all the way down perpen-dicularly. It appears in these drawings as a dotted line to emphasize the fact thatthe head must be above the level of the table during introduction of the broncho-scope into the trachea. A, exposure of larynx. B, bronchoscope introduced. C,slide removed. D, laryngoscope removed leaving bronchoscope alone in handle of the laryngoscope in C and D should be shown as rotated down tothe left as shown in Fig. 131a. INTRODUCTION OK THE BRONCHOSCOPE. 157 cisely the same as for direct laryngoscopy, as shown in Fig. 70 and de-scribed in the adjacent text. After the larynx is exposed as there de-scribed the introduction of the bronchoscope is precisely the same as inthe recumbent position, so that the one description of the procedurewill answer for both. The only difference is that the lar
Size: 919px × 2721px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
