A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . REFERENCE HANDBOOK OF THE MEDICAL SCIENCES instruments, but its use for this purpose is unjusti-fiable. For direct laryngoscopy in cliildren no an-esthetic, general or local, is ever required. Cocaineis exceedingly dangerous in children and its use isneedless. In all dyspneic cases in either adults orchildren a general anesthetic is exceedingly dangerousand should never be given. In direct laryngealoperations for conditions such as papillomata in the intruder, whic
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . REFERENCE HANDBOOK OF THE MEDICAL SCIENCES instruments, but its use for this purpose is unjusti-fiable. For direct laryngoscopy in cliildren no an-esthetic, general or local, is ever required. Cocaineis exceedingly dangerous in children and its use isneedless. In all dyspneic cases in either adults orchildren a general anesthetic is exceedingly dangerousand should never be given. In direct laryngealoperations for conditions such as papillomata in the intruder, which is then likely to drop into th(deeper air passages, that it is better in most instancito use no anesthetic whatever. If it is desired to u>one, cocaine should be sprayed in during inhalationrather than apphed with a swab as hereinafter men-tioned. When, however, the direct laryngoscopy Lonly preUminary to the passage of a bronchoscopeadults will require thorough cocainization of th(. Fig. 1155.—Calipers for the Localization of a Broachially Lodged Foreign Body. The distance of the foreign body from the skinsurface is thus registered from the lateral radiograph. The calipers are then detached. later reattached after the bronchoscope is intro-duced. The position of the foreign body in the lateral plane is marked on the skin from the anteroposterior radiograph withoutcalipers, by the anatomical landmarks. children, no anesthetic, general or local, is needed;because these growths are quite insensitive and thereflexes of children need not interfere with adults, however, the reflexes wiU require cocainelocally, for operations on the larynx, and also in someinstances when only a diagnosis is to be made. Anyattempt at cocainization of the larj-nx in a case oflarjngeally lodged foreign body is so apt to dislodge 534 mucosa of the larynx and especially of the epiglottisin diagnostic cases. In difficult foreign-body casesgeneral anesthesia is used by most operators
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1910, bookyear1913
