The operating room and the patient; a manual of pre- and post-operative treatment . er-gency cases the oil is omitted, and a large soapsuds enema givenimmediately following the bath. Diet.—The diet should be highly nutritious, rapidly assimil-able, and such as to leave the minimum residue in the patient should be encouraged to indulge in liberal quanti-ties of water up to within six hours of the time set for the opera-tion. In emergency cases which have recently partaken of ameal the stomach should be washed out. Debilitated patientsshould receive rectal alimentation every six h
The operating room and the patient; a manual of pre- and post-operative treatment . er-gency cases the oil is omitted, and a large soapsuds enema givenimmediately following the bath. Diet.—The diet should be highly nutritious, rapidly assimil-able, and such as to leave the minimum residue in the patient should be encouraged to indulge in liberal quanti-ties of water up to within six hours of the time set for the opera-tion. In emergency cases which have recently partaken of ameal the stomach should be washed out. Debilitated patientsshould receive rectal alimentation every six hours in additionto being fed by the stomach. Local Preparation. General Directions.—The afternoon pre- PRE-OPERATIVE PREPARATION AND THE PRIMARY DRESSING 169 ceding the time set for operating the skin of the field of opera-tion is shaved. In emergency cases this is done just precedingthe anesthetic. Head.—^Preceding operation upon the brain the hair of theentire head is shaved. Preparatory to intracranial operationsrequiring localization Kronleins cerebro-topographic lines. Fig. 121.—Kronleins craniocerebral topographic lines. 1, 1, Baseline,passing through the infraorbital ridge and the superior border of the auditorymeatus; 2, 2, superior horizontal line, passing through the supraorbitalridge parallel to the base line; 3, 3, anterior vertical line, passing from themiddle of the zygomatic arch perpendicular to the base line; 4, 4, middlevertical line, passing from the head of the inferior maxilla (immediately infront of the tragus) perpendicular-to the base line; 5, 5, posterior vertical line,passing from the posterior palpable margin of the mastoid process per-pendicular to the base hue; 3, 6, line of fissure of Rolando; 3, 7, line of fissureof Sylvius. (Fowlers Surgery.) should be drawn with an anilin pencil on the shaved scalp inaccordance with the rules shown in the illustration (Fig. 121).A ready method of locating the fissure of Rolando is as follows(Fig. 122): (
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
