The operating room and the patient; a manual of pre- and post-operative treatment . ic acid. If a little green soap is addedthe hands are kept white and soft. If the hands feel dry, lanolinmay be rubbed into the skin. Before disinfecting the hands and forearms a cap, mask andrubber apron should be donned. After disinfection is completea sterile gown is put on. Application of Dressings.—^The skin in the neighborhood ofthe wound is cleaned with hydrogen peroxid, then saline solu-tion and dried. Dry sterile gauze compresses are placed nextthe wound. Adhesive plaster is useful to retain the woundd
The operating room and the patient; a manual of pre- and post-operative treatment . ic acid. If a little green soap is addedthe hands are kept white and soft. If the hands feel dry, lanolinmay be rubbed into the skin. Before disinfecting the hands and forearms a cap, mask andrubber apron should be donned. After disinfection is completea sterile gown is put on. Application of Dressings.—^The skin in the neighborhood ofthe wound is cleaned with hydrogen peroxid, then saline solu-tion and dried. Dry sterile gauze compresses are placed nextthe wound. Adhesive plaster is useful to retain the wounddressing. If drainage tubes have been used the gauze is builtup around them to prevent undue pressure. In drainage casesthe compresses are moistened to promote drainage. The neigh-boring parts are then dried and a layer of absorbent cottoncovered by a layer of nonabsorbent is placed overthe wound dressing. In other, cases a single layerof nonabsorbent cotton is used. In securing band-ages with pins care should be taken not to woundthe skin. In moving the patient strain upon the. Fig. 142.—Volkmanns posterior leg splint. (Fowlers Surgery.) sutures must be avoided. The purpose of the dressing is torelieve strain and insure rest of the parts as well as to pro-tect the wound against infection. Dead spaces should beobliterated by pressure of the dressing. The Volkmann blockor an inverted basin facilitates the application of dressings tothe trunk. Dressings should fit smoothly and be on the cervical region should include the head,shoulder, and thorax. Thorax dressings should include theshoulder and upper abdomen. Abdominal dressings shouldgo well over the flanks, thighs, and lower part of the thorax. 190 OPERATING ROOM AND THE PATIENT Respiration, however, must not l^e interfered with. In apply-ing the abdominal binder the binder should be rolled up half-way lengthwise; the patient should be rolled partly on the sideand the rolled portion of the binder placed
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