Modern surgery, general and operative . ffect of the heat is of great value. The fluid must not be al-lowed to cool; and a nurse gives constant attention to the temperature of thefluid in the reservoir. This degree of heat will not damage the corpuscles;in fact, Dawbarn has used saline fluid at a tempertature of 118° F. withoutdoing damage to corpuscles and with great benefit to the patient. From hpint to 2 pints or even more are slowly injected, the condition of the patientdetermining the amount given. In one case of violent hemorrhage the authorused over 2 quarts. In order to infuse this flu
Modern surgery, general and operative . ffect of the heat is of great value. The fluid must not be al-lowed to cool; and a nurse gives constant attention to the temperature of thefluid in the reservoir. This degree of heat will not damage the corpuscles;in fact, Dawbarn has used saline fluid at a tempertature of 118° F. withoutdoing damage to corpuscles and with great benefit to the patient. From hpint to 2 pints or even more are slowly injected, the condition of the patientdetermining the amount given. In one case of violent hemorrhage the authorused over 2 quarts. In order to infuse this fluid tie a fillet well above the elbow,and expose by dissection the median basilic vein, or the basilic vein in the por-tion of its course where it is superficial to the deep fascia. Tie the vein. Inciseit above the ligature, insert a fine cannula toward the heart, and hold the cannulafirmly in the Ivrnien by tightening a second ligature (Figs. 235, 236). Removethe fillet. Slowly and gradually introduce the fluid, carefully watching the. Fig. 23S.^Injection of saline solution and adrenalin into an artery by the method of Crile. pulse. Occupy at least ten minutes in introducing i pint, except in a very des-perate case of hemorrhage, when the rapidity of the flow may be the tension of the pulse returns, withdraw the cannula, tie the second liga-ture tightly, sew up the wound, and dress it aseptically. In very severe opera-tions an assistant should conduct the infusion while the surgeon is may be necessar}^ to repeat the injection if the circulation fails again. Theinfusion of a ver\^ large amount of saline fluid may do harm. It may embarrassthe heart and cause acute dilatation, may lead to edema of the lungs or brain,and cause marked anemia which lasts for days. The giving of salt solutionintravenously should never be regarded as routine treatment, judgment isrequired in determining that it shotfld be used, when it should be used, and howmuch is requ
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
