The practice of surgery . , areforced to disgorge their contents. An excellent means of exertingperipheral pressure is by tight bandaging of the limbs and trunk withbroad flannel or rubber rollers. A still more effective method—amethod vastly more effective in my experience—is the application ofCriles pneumatic rubber suit, which can be inflated in a minute. It isextremely interesthig, during its application, to watch the surpiisingand almost instantaneous improvement in the patients pulse. Asimple and easy method of seeking the same end, but a method muchless effective, is to throw the patien
The practice of surgery . , areforced to disgorge their contents. An excellent means of exertingperipheral pressure is by tight bandaging of the limbs and trunk withbroad flannel or rubber rollers. A still more effective method—amethod vastly more effective in my experience—is the application ofCriles pneumatic rubber suit, which can be inflated in a minute. It isextremely interesthig, during its application, to watch the surpiisingand almost instantaneous improvement in the patients pulse. Asimple and easy method of seeking the same end, but a method muchless effective, is to throw the patient into a modified Trendelenburgposition, by which maneuver the hearts action is relieved and thebasal centers are flooded by fresh blood. At the same time keep thepatient warm with hot bottles, or a hot-water bed and blankets. Saline solutions introduced into the circulation maj- be regardedeither as mechanical aids or as internal remedies, but, however that. Pig. 468.—Criles pneumatic suit (Keens Surgery). may be, it is certain that the mere presence of an increased volume offluid in the circulation serves for a short time to relieve shock, and is,most of all, valuable if there be hemorrhage. There are four methodsof introducing saHne fluids: (1) By intravenous infusion—the injec-tion of the solution through a cannula directly into a vein, choosingpreferably one of the veins of the calf or at the bend of the elbow; (2)by intra-abdominal infusion; (3) b} rectal injections; (4) by subcu-taneous injections. As Crile remarks, it is well to give the intravenousinfusion gradually, since a great amount of fluid may cause acutedilatation of an anemic heart. One should not give more than a pint,as a inile, but this amount may be repeated at frequent intervals. Theintra-abdominal infusions are commonly practised in the course ofabdominal operations, the opened belly being filled with salt solutionand sewed up. This included solution is absorbed
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
