The operating room and the patient; a manual of pre- and post-operative treatment . is flexed at the elbow,abducted to a right angle at theshoulder, and held in that posi-tion by bandaging the wristloosely to the table or is heldby a nurse. The other handlies close to the patients patients face is turnedaway from the affected side sothat the administration of theanesthetic will not interfere withthe operator. Before the intro-duction of the sutures the armis brought to the side in order tosecure proper approximation ofthe skin flaps. The position for thoracot-omy (Fig. 127) is similar
The operating room and the patient; a manual of pre- and post-operative treatment . is flexed at the elbow,abducted to a right angle at theshoulder, and held in that posi-tion by bandaging the wristloosely to the table or is heldby a nurse. The other handlies close to the patients patients face is turnedaway from the affected side sothat the administration of theanesthetic will not interfere withthe operator. Before the intro-duction of the sutures the armis brought to the side in order tosecure proper approximation ofthe skin flaps. The position for thoracot-omy (Fig. 127) is similar tothe above except that a largersand bag is used and thelateral chest wall more ex-posed by allowing the arm ofthe affected side to lie acrossthe chest. For more extensiveoperations the patient is placedmore nearly on the side (). The position for operations upon the upper abdomen is thedorsal position or the dorsal position with a moderately largesand-bag under the dorsal spine, or the position is secured byusing the apparatus on most operating tables to make the upper. 180 OPERATING ROO:\I AND THE PATIEXT abdomen prominent. The arms may be placed above the head(Fig. 129) or secured high up across the chest. Before intro-ducing the sutures the elevator is lowered to obviate tension onthe wound. The dorsal position (Fig. 130) is ^-ith the patient fiat on theback. The arms may be either secured high up on the chestfastened naturally above the head, or allowed to rest at the side. The Trendelenburg position (Fig. 131) is secured by placingthe patient in the dorsal position, with the shoulders resting
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
