Peroral endoscopy and laryngeal surgery . hand. If the operator andassistant work together frequently they can do bronchoscopies without POSITION 01 THE PATIENT FOR ENDOSCOPY. 85 loss of time and with a precision tliat cannot lie cc|iialle<l by an\- othermcliiod. Tliis position has nothing to do with the kind of instrumentused. There is no instrument made for bronchoscoiiy or esophagoscopythat will do away with the necessity for a correct [losition of the patientt(jr liest results in <|uickness and precision. With the patient recumbenton an operating table of the ordinary height
Peroral endoscopy and laryngeal surgery . hand. If the operator andassistant work together frequently they can do bronchoscopies without POSITION 01 THE PATIENT FOR ENDOSCOPY. 85 loss of time and with a precision tliat cannot lie cc|iialle<l by an\- othermcliiod. Tliis position has nothing to do with the kind of instrumentused. There is no instrument made for bronchoscoiiy or esophagoscopythat will do away with the necessity for a correct [losition of the patientt(jr liest results in <|uickness and precision. With the patient recumbenton an operating table of the ordinary height the direct laryngoscopistshould sit on a stool such as the anesthetist uses. For bronchosco])y(recumbent position), especially after the bronchoscope has been in-troduced, a lower stool is often re(|uired unless the posterior branchesare being explored. For the middle lobe bronchus it is necessary for theoperator to sit on a footstool. In beginning an esophagoscopy theoperator stands. Later he sits on a low stool for the lower third of. Fig. 71. Child with liiuli ihirs;il liilicrculosis at llu- Iitlsljiiruh 1 ln-,|iit;il forChildren. The author maile a direct laryiinoscoiiic examination, without changingtlie childs position or removing the apparatus, by standingon the left side of thebed. as demonstrated by Richard H. Johnston, Fig. 11. This child had a flabby up-per orifice causing an inspiratory stridor. the esophagus. The for stools of different heights for theoperator is lessened in special tables l)y the elevation or lowering ofthe entire table, patient and all. by sjiecial mechanism. The raising andlowering of the head and tlie lateral movements will be considered wlienwriting of the introduction of the instruments and of \ariiuis i) ( Hill. .IHO 1 demonstralcd ilie \aluc of tlexion of the head mthe recumbent i)ositi(jn for direct laryngoscopy by a laterally rotatingspeculum. Richard H. Johnston (liib. •iSC) demonstrated the usefi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
