The operating room and the patient; a manual of pre- and post-operative treatment . one quart of hotwater in which is dissolved one ounce of alum. Another almostequally efficient enema consists of one pint of milk and alternation of these latter enemas is useful at times. Milkof asafetida, 3 oz., either alone or in solution is useful. If muchirritation is produced from stimulating enemas an enema of oneounce of starch with sufficient cold water to make a paste andthe addition of boiling water to dilute this mixture to the con-sistency of mucilage, or the injection of a few ounces o
The operating room and the patient; a manual of pre- and post-operative treatment . one quart of hotwater in which is dissolved one ounce of alum. Another almostequally efficient enema consists of one pint of milk and alternation of these latter enemas is useful at times. Milkof asafetida, 3 oz., either alone or in solution is useful. If muchirritation is produced from stimulating enemas an enema of oneounce of starch with sufficient cold water to make a paste andthe addition of boiling water to dilute this mixture to the con-sistency of mucilage, or the injection of a few ounces of oliveoil occasionally into the rectum will prove soothing. Colonic Irrigation.—Colon irrigations are indicated for thepurpose of completely emptying the colon before operationsupon the rectum and colon, for the treatment of diseases of thecolon and for the purpose of causing rapid absorption of alarge quantity of saline. The latter indication is now fulfilledsurgically by proctoclysis by the Murphy method. A Kemps(Fig. 146) or Tuttles tube may be employed, or in an emergency. I g. 146.—Kemps tube for colonic irrigation. an ordinary rectal tube with a T-attachment may take theirplace. The simplest apparatus consists of a receptacle (adouche bag or can) for holding the saline or whatever medicatedsolution is indicated, a length of rubber tubing, a T-shaped con-nection, a rectal tube and a length of rubber tubing with a clip forthe outflow. Rubber sheeting prevents soiling; a large pail isused to collect the irrigating fluid. Several pitchers of irrigat-ing fluid at the proper temperature should be at hand. Thepatient is placed preferably in the Sims position with the hipselevated. Changing the position of the patient occasionally 206 OPERATING ROOM AND THE PATIENT allows the solution to reach all parts of the colon. The fluidat a temperature of 100° F. to 105° F. is allowed to flow sloidyto avoid exciting peristalsis. Elevation of the receptacle fromtwo to four feet gives
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