Modern surgery, general and operative . gused the part must be in-spected at brief intervals tosee that the circulation is notunduly depressed. The ice-bag is frequently used injoint inflammation, in intra-cerebral inflammation, in epi-did\Tnitis, in acute myelitis,and by many in the earheststage of appendicitis (seepage 1016, where the authorexpresses his disapproval ofsuch a method of treatment).If a joint is sprained, the im-mediate application of an ice-bag is of great ser\dce. Apart can be encircled with arubber tube through which iced water is made to flow (Fig. 54). Even whenthis appara
Modern surgery, general and operative . gused the part must be in-spected at brief intervals tosee that the circulation is notunduly depressed. The ice-bag is frequently used injoint inflammation, in intra-cerebral inflammation, in epi-did\Tnitis, in acute myelitis,and by many in the earheststage of appendicitis (seepage 1016, where the authorexpresses his disapproval ofsuch a method of treatment).If a joint is sprained, the im-mediate application of an ice-bag is of great ser\dce. Apart can be encircled with arubber tube through which iced water is made to flow (Fig. 54). Even whenthis apparatus is used the part should first be wrapped in flannel. Leiterstubes, which are tubes of lead made to fit various regions and which carry astream of cold water, can also be used. A piece of flannel must be placedbetween the tube and the skin. The temperature of these tubes can be low-ered to any desired degree by lowering the temperature of the circulating and Burghard wisely caution us to use a fluid at a temperature not. Fig. 54.—The Esmarch cooling coil. loo Inflammation under 50° or 60° F., to inspect the part every three or four hours, and not toemploy the tubes longer than twenty-four hours. Heat is employed by some early in an inflammation. It is rarely beneficialat this stage, except when applied by a hot-air apparatus for the treatment ofan injured joint. It is true that a degree of heat which does not actually de-stroy the tissues will contract the vessels as does cold; but this degree of heatwill not be borne by the patient unless but a limited portion of a superficialpart is involved. Certain agents are suited to the stage of fully developed inflammation,when there is a great deal of swelling due to effusion and indication in this stage is to abate swelling by promoting is accomplished by (i) compression; (2) local use of astringents andsorbefacients; (3) the douche; (4) massage; (5) heat. Compression is espec
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
