Peroral endoscopy and laryngeal surgery . tion may be gotten rid of without difficulty,even in bronchiectatic and pulmonary abscess cases. The authors per-sonal preference in such cases is for recumbency. For bronchoscopy forforeign bodies in adults, as before mentioned, the recumbent position isalways best. For esophagoscopy for diagnosis and treatment, with or withoutanesthesia, the authors preference is for the recumbent position. It has POSITION- OF THE PATIENT EOR PERORAI, ENDOSCOPY. 79 great advantages in dealing without interrui»tion with the secretions andfood debris, so abundant in ma
Peroral endoscopy and laryngeal surgery . tion may be gotten rid of without difficulty,even in bronchiectatic and pulmonary abscess cases. The authors per-sonal preference in such cases is for recumbency. For bronchoscopy forforeign bodies in adults, as before mentioned, the recumbent position isalways best. For esophagoscopy for diagnosis and treatment, with or withoutanesthesia, the authors preference is for the recumbent position. It has POSITION- OF THE PATIENT EOR PERORAI, ENDOSCOPY. 79 great advantages in dealing without interrui»tion with the secretions andfood debris, so abundant in many cases, and the patient is much morecontrollable. When a start is made it is a waste of time to withdrawthe tube because the patient has slid off the stool or is strangling withsecretions which have overflowed into his larynx. General prineiples of all positions. The general principles of alluseful positions are the same. The author was the first to call the atten-tion of endoscopists to the fact that the trachea and esophagus are not. Fig. 64. Schematic ilhistrauon of normal position of the intra-thoracic trachea,and also of the entire trachea when the patient is in the correct position for peroralbronchoscopy, such as the original Kirstein position, or that shown in Fig. the head is thrown backward (as in the usual or in the Rose position) theanterior convexity of the cervical spine is transmitted to the trachea of which theaxis is thus deviated. The correct position is produced in the recumbent patient byraising the head. The anterior deviation of the lower third of the esopliagus showsthe anatomical basis for tlic autliors high-low position for esophagoscopy. ( to 152). perpendicular. Their long axis passes backward as well as downwardfollowing the general direction of the thoracic spine (Fig. (il). There-fore, if we throw the patients head backwards we cause an anterior con-vexity of the cervical spine, and with it the esophagus and trachea, asshown in t
Size: 1103px × 2266px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
