A manual of the modern theory and technique of surgical asepsis . ANAESTHESIA. 279 the maxillae. The writer has devised severalmodifications of this useful instrument, the mostimportant of which is the establishment ofgrooves in the triangular mouth-piece of theforceps (Fig. 61, b). After this modified sepa-rator (Fig. 61, a) is introduced it is turned side-wise, and by forcing the grooves into the teeth. Fig. 61.—Becks modified maxilla-separator. the instrument will be prevented from falling removal of mucus is thus rendered easy. If ordinary means do not suffice to restorebreathing,


A manual of the modern theory and technique of surgical asepsis . ANAESTHESIA. 279 the maxillae. The writer has devised severalmodifications of this useful instrument, the mostimportant of which is the establishment ofgrooves in the triangular mouth-piece of theforceps (Fig. 61, b). After this modified sepa-rator (Fig. 61, a) is introduced it is turned side-wise, and by forcing the grooves into the teeth. Fig. 61.—Becks modified maxilla-separator. the instrument will be prevented from falling removal of mucus is thus rendered easy. If ordinary means do not suffice to restorebreathing, resort must be had to the inductionof artificial respiration. The writer has foundit useful to combine artificial respiration withstimulation of the heart and lowering of thehead, as illustrated by Plate XI. After havingplaced the patient in a position similar to that ofTrendelenburg, an assistant grasps the arms atthe elbows, carries them outward and upwardabove the head, and brings them back to theanterior surface of the thorax. This movementshould be performed in a rhythmical manner and 2SO SURGICAL ASEPSIS. about eighteen times per minute. At the sametime another assistant thrusts his fingers againstthe apex of the heart, as if employing a speciesof massage. While these manipulations arebeing made camphorated oil and tincture ofstrophanthus may be injected other valuabl


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1895