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Article
February 17, 1900

DIRECT BRONCHOSCOPY IN THE LOCALIZATION OF BODIES IN THE LUNGS.

JAMA. 1900;XXXIV(7):435-436. doi:10.1001/jama.1900.02460070051009
Abstract

The dangers attendant on the presence of foreign bodies in the lungs, and the desirability of a method for their detection, localization, and removal, are so obvious as not to require extended discussion. Fluoroscopy and skiagraphy will prove useful in diagnosis, and pneumonotomy in treatment, in some cases; but any additional resource for the relief of such a serious condition will be cordially welcomed. A procedure recommended by Killian1, although apparently difficult of execution, should be given careful consideration. This consists in direct inspection of the trachea and the bronchi with the aid of suitable specula and illumination, either from the mouth or through a tracheotomy wound. Long tubular specula, illuminated with an electric head-mirror or other suitable apparatus, are employed, the main bronchus being displaced sufficiently to be continuous with the trachea. The examination is the more readily made through a tracheotomy wound after thorough cocainization. This constitutes

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