. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ade in contact with the spine. Neither of these methods havebecome very popular with others, and are rarely if ever used by the 368 LOCAL ANESTHESIA author. The methods preferred are those described in dealing withthe different regions, as described later. To anesthetize the inferior pudendal nerve an injection is made onthe outer side of the tuberosity of
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ade in contact with the spine. Neither of these methods havebecome very popular with others, and are rarely if ever used by the 368 LOCAL ANESTHESIA author. The methods preferred are those described in dealing withthe different regions, as described later. To anesthetize the inferior pudendal nerve an injection is made onthe outer side of the tuberosity of the ischium, where this nervepasses close to the base of the process and between it and the greatsciatic. The needle is entered in the perineum to the inner side of thetuberosity and directed outward and upward, injecting as the needleis advanced to a point over the base of the bone; the injection ismade after the needle is felt to pass the bone about | inch, usuallyusing about 2 drams of per cent, novocain adrenalin , however, like the injection of the pudic, is uncertain. THE PENIS To anesthetize the entire organ a circumferential line of intra-dermal anesthesia is carried around the organ at its root, as seen in. Fig. 94.—Method of procedure for anesthesia of entire penis. (From Braun.) Fig. 94. From this line two deep injections are made about \ inchon either side of the midline and carried down to the corpora cavernosa(Fig. 93), showing the nerve-supply and (Fig. 95) the point of injec-tion, using here about 1 dram of novocain adrenalin solution ora somewhat more liberal injection of solution No. 1. If the contemplated procedure involves the urethra, a smallerquantity of the solution should be injected deep on either side of this GENITOURINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 369 structure in the sulcus, between it and the corpora cavernosa. Shoulda fine needle pierce the urethra in this injection no damage willresult. A small stationers ela
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
