. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. Fig. 126.—Syringe and cannulas forsubarachnoid anesthesia. (According toBarker.) (Keens Surgery.) Fig. 127.—Demonstrating the use ofthe inner cannula for injection into thesubarachnoid space. (According to Bar-ker.) (Keens Surgery.) dry sterile powder previously deposited in the barrel of the syringe,then a large one, up to 5 , is to be preferred; or, i


. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. Fig. 126.—Syringe and cannulas forsubarachnoid anesthesia. (According toBarker.) (Keens Surgery.) Fig. 127.—Demonstrating the use ofthe inner cannula for injection into thesubarachnoid space. (According to Bar-ker.) (Keens Surgery.) dry sterile powder previously deposited in the barrel of the syringe,then a large one, up to 5 , is to be preferred; or, if it is preferred tomix the anesthetic fluid within the syringe with an equal quantity ofcerebrospinal fluid before final injection, as practiced by Bier andTuffier, the larger syringe should be selected. The syringe, needles, etc., used for spinal puncture should neverbe used for any other purpose, and should be sterilized by boilingin plain water. No alkalis or antiseptics should be used. Alkalisdestroy the anesthetic agents, and a small dose of antiseptic mayprove irritating to the cord. The site of puncture should be prepared by cleansing with soapand water only, or, if antiseptics are used, they should be carefully SPINAL AN


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914