The art of anaesthesia . Fig. 20.—Patient in Trendelenburg position—feet Fig. 21.—The Simms position; patient on left side, left leg extended, right leg flexed, left arm behind and to the side. 42 ANAESTHESIA If the head be turned to the side during this process ofoverextension, damage is more pronounced to the plexuson the opposite side, since it is put on a greater stretch. Musculospiral Paralysis.—If the arm is permitted tohang over the edge of the table (Fig. 23), the musculo-spiral nerve may be compressed between the table edge andthe bone and a paralysis results. This type of
The art of anaesthesia . Fig. 20.—Patient in Trendelenburg position—feet Fig. 21.—The Simms position; patient on left side, left leg extended, right leg flexed, left arm behind and to the side. 42 ANAESTHESIA If the head be turned to the side during this process ofoverextension, damage is more pronounced to the plexuson the opposite side, since it is put on a greater stretch. Musculospiral Paralysis.—If the arm is permitted tohang over the edge of the table (Fig. 23), the musculo-spiral nerve may be compressed between the table edge andthe bone and a paralysis results. This type of paralysisis quite common, but will never occur if the arms are prop-erly cared for. Recovery from posture paralysis is usually completebut protracted. Symptoms usually disappear first at theperiphery, and later at the more central j)ortions involved. Position for Operation on the Sacrum, Coccyx andRectum (Figs. 25, 26, 27).—When the field of operationis posterior to the anus, the prone position (Fig. 25), orits modification as seen in Figs. 26 and 27, is best
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1919
