. Nursing in diseases of the eye, ear, nose, and throat . minutes, or if necessary ligating the spurtingartery. 3. The employment of metal sutures which are firstthreaded on a string to prevent inhaling or swallowingif detached by vomiting or gagging. 4. Suturing the pillars over a piece of gauze. 5. The application of one of the mechanical tonsilhemostats as the Mikulicz-Stoerk (Fig. 65), which shouldnever be too firm nor left on for over six hours. 262 EYE, EAR, NOSE, AND THROAT NURSING B. In Adults.—1. Under general anesthesia the technicis exactly the same as for children, except that more
. Nursing in diseases of the eye, ear, nose, and throat . minutes, or if necessary ligating the spurtingartery. 3. The employment of metal sutures which are firstthreaded on a string to prevent inhaling or swallowingif detached by vomiting or gagging. 4. Suturing the pillars over a piece of gauze. 5. The application of one of the mechanical tonsilhemostats as the Mikulicz-Stoerk (Fig. 65), which shouldnever be too firm nor left on for over six hours. 262 EYE, EAR, NOSE, AND THROAT NURSING B. In Adults.—1. Under general anesthesia the technicis exactly the same as for children, except that moreattention is paid to diet and elimination by means ofthe gastro-intestinal tract. The employment of morphinhypodermically, gr. j, one hour before the time se1 for theoperation, greatly lessens the preoperative agitation of thepatient, lessens the amount of anesthetic required, andprevents postoperative pain and restlessness to a markeddegree. 2. Under local anesthesia the patient may or may prepared by the ude of sedatives, bromids, etc., for a. Fig. 65.— tonsil hemostat. few days previous to the day of operation and an hourbefore by the administration of morphin as above. Dietand elimination receive proper attention. The throatis cleared of all mucus by means of alkaline douches ora 50 per cent. Dobell solution. The tonsils and pillarsare then gently swabbed with 10 or 20 per cent, cocainsolution, after which a \ of 1 per cent, solution of novo-cain or other synthetic anesthetic, or as some preferweak cocain solution, is injected by means of a syringewith a special curved tip into the tonsillar fossa1 and peri-tonsillar tissues. Usually three separate injections aremade into each side, one into the upper pole and into DISEASES OF THE PHARYNX 263 the lower, and one midway between these two amount used depends upon the individual operatorsjudgment for each case. The addition of a few dropsof suprarenal extract to the anesthetic solution is a
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectotorhin, bookyear1922
