Maryland medical journal . terwaiting a few minutes, Jacksons direct laryngoscope was passedand the larynx cocainized through it. There was no difficulty inpassing a 7 mm. bronchoscope between the vocal cords and downthe trachea into the right bronchus. When the end of the tube was13 inches from the upper teeth the head and point of the pin could i68 MARYLAND MEDICAL JOURNAL TUNE, I9II be seen. The point was straight up in the bronchus just at theend of the bronchoscope. At this point, as I reached for my for-ceps to grasp the pin, the patient coughed and the pin hunting some
Maryland medical journal . terwaiting a few minutes, Jacksons direct laryngoscope was passedand the larynx cocainized through it. There was no difficulty inpassing a 7 mm. bronchoscope between the vocal cords and downthe trachea into the right bronchus. When the end of the tube was13 inches from the upper teeth the head and point of the pin could i68 MARYLAND MEDICAL JOURNAL TUNE, I9II be seen. The point was straight up in the bronchus just at theend of the bronchoscope. At this point, as I reached for my for-ceps to grasp the pin, the patient coughed and the pin hunting some minutes longer, I decided to postpone furtheraction until the next day. The patient was prepared for a generalanesthetic, and early the next morning an X-ray picture wastaken, which showed the pin in about the same position, butapparently sticking in the outer wall of the bronchus. Assisted byDrs. Piggott, VVillse and Stewart of the University Hospital staff,and under chloroform anesthesia, 1 passed the 9 mm. bronchoscope. X KAY SHOWING PIN. with the head in the straight position, the larynx having been firstcocainized to prevent reflexes. After the passage of the tubebetween the vocal cords, the head was gently lowered over the endof the table until the Boyce position was gotten. Cocaine bad tobe applied to the tracheal mucous membrane to prevent the tube entered the bronchus a quantity of mucus wasexpelled, probably from the irritation of the membrane the daybefore. After the mucus had been wiped away, the tube waspushed down, and at 13 inches from the upper teeth the point ofthe pin was seen sticking in the outer wall of the bronchus. Pfausforeign-body forceps were introduced through the tube, and at thefirst attempt the shank of the pin was grasped and carefully ma- FOREIGN BODY FROM RIGHT BRONCHUS—Johnston 169 nipulated to free the point from its attachment to the mucousmembrane. No effort was made to extract the pin for fear ofdriving the point through the w
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