. Surgical and gynæcological nursing. salt solution;peroxide of hydrogen; balsam of Peru; sterile vaseline; oxide ofzinc ointment; boric acid ointment; pencils of fused silver nitrate 158 MINOR TECHNIC IN SURGICAL NURSING (lunar caustic) and nitrate of silver in solution; scarlet red; talcumpowder and special formulae of dusting powders; and one or twobasins containing bichloride (1 to 3000) or other antisepticsolution. The last item may perhaps be regarded as a survivalof the antiseptic era. In some of the best clinics all wounds arenow dressed with dry sponges without the use of any antisept
. Surgical and gynæcological nursing. salt solution;peroxide of hydrogen; balsam of Peru; sterile vaseline; oxide ofzinc ointment; boric acid ointment; pencils of fused silver nitrate 158 MINOR TECHNIC IN SURGICAL NURSING (lunar caustic) and nitrate of silver in solution; scarlet red; talcumpowder and special formulae of dusting powders; and one or twobasins containing bichloride (1 to 3000) or other antisepticsolution. The last item may perhaps be regarded as a survivalof the antiseptic era. In some of the best clinics all wounds arenow dressed with dry sponges without the use of any antisepticsolutions whatever. Sponging the neighborhood of the woundwith alcohol adds to the patients comfort, and may be done forthat reason. Hand disinfection and rubber gloves are unnecessaryin the routine dressing of even clean wounds, the surgeon handlingeverything with sterile instruments. When, for any reason, itis desirable to touch the wound with the hands, rubber gloveswill be worn whether the wound is clean or suppurating, in the. Fig. 74.—Taped adhesive strips. former case to avoid wound infection and in the latter to protectthe surgeons hands from contamination with septic material. The various kinds of surgical cases that require more or lessfrequent change of dressings may be classified as follows: (1)Clean operative wounds in which the dressing put on at the timeof the operation is allowed to remain undisturbed for from fourdays to two weeks, usually about ten days. In these only oneor two redressings are usually necessary. (2) Accidental woundswhich heal aseptically like operative wounds. (3) Suppuratingwounds: these may be operative wounds, intended to be clean,which have become infected almost always through some fail-ure in carrying out the aseptic technic, or they may be casesin which the operation was originally done for a septic condition,such, for example, as a gangrenous appendix or an empyema,or they may be accidental wounds, infected either at the time of
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgenitaldiseasesfemal
