The art of anaesthesia . bject ofthis position is to increase the diameter of the pelvic inletby tilting the symphysis pubis, as shown in Fig. 44. Thistilting increases the conjugata vera about one centimetre(Fig. ). The position is obtained by allowing thepatient to rest on the edge of the table on the buttockswith her legs hanging free. ( Fig. 44.) 7. Rigidity in upper abdominal operations is particu-larly embarrassing when the wound is closed. At thistime great relief is afforded the surgeon by lifting thehead of the table, thereby relieving the tension on the recti (refer to Figs. 42 an


The art of anaesthesia . bject ofthis position is to increase the diameter of the pelvic inletby tilting the symphysis pubis, as shown in Fig. 44. Thistilting increases the conjugata vera about one centimetre(Fig. ). The position is obtained by allowing thepatient to rest on the edge of the table on the buttockswith her legs hanging free. ( Fig. 44.) 7. Rigidity in upper abdominal operations is particu-larly embarrassing when the wound is closed. At thistime great relief is afforded the surgeon by lifting thehead of the table, thereby relieving the tension on the recti (refer to Figs. 42 and 43). 8. Rigidity caused by intra-abdominal distention, whichhas not been relieved by the operation, is best dealt withby using an open mask, at least during the stage of main-tenance. In this way the maximum oxygenation isobtained and there is practically no residual CO- to causedeep and embarrassing respirations. These cases are usu-ally quite sick and succumb easily to the anaesthetic. COMPLETE GENERAL ANAESTHESIA 55. Fig. 40.—Table get for lithotomy.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1919