The treatment of syphilis . arecumbent position on a surgical table or, if the injection is givenat home, on a bed. If the surgical table is used, it is very easy toaffix an arm thereto, upon which the patients arm can gives the operator the advantage of having the field ofoperation perfectly steady at all times. The Choice of the Vein The vein of choice is the cephalic just below the junction withthe vena mediana cubiti, as at this place a level spot is offered,whereas a little higher up the bend of the elbow is encounteredwith its attendant inconvenience for the entrance of the nee


The treatment of syphilis . arecumbent position on a surgical table or, if the injection is givenat home, on a bed. If the surgical table is used, it is very easy toaffix an arm thereto, upon which the patients arm can gives the operator the advantage of having the field ofoperation perfectly steady at all times. The Choice of the Vein The vein of choice is the cephalic just below the junction withthe vena mediana cubiti, as at this place a level spot is offered,whereas a little higher up the bend of the elbow is encounteredwith its attendant inconvenience for the entrance of the for any reason this vein is not available, the basilic, just aboveor below the junction with the median antibrachial, offers themost attractive site of entrance. Sometimes the accessory cephalic is large enough for the easyinsertion of a needle and as a dernier ressort the physician is some-times compelled to use the median antibrachial near the wrist orone of the oblique branches connecting the basilic and S-i - OJ o> o a «-» a ?ts ^ d all *^ > s ~ ^ ,d tju *& bD ?a .5P d +J o B* toST ° 11 ^ -d P-3 TECHNIC OF ARSPHENAMINE ADMINISTRATION 53 The veins near the wrist are usually so small that much skillis required for the introduction of a needle of fine calibre. When the vein has been chosen, the arm is thoroughly cleansedwith alcohol or iodin well over and around the point of the in-tended puncture. The area should be covered with sterile gauzeuntil the actual injection is made. The patients arm should rest on sterilized towels and it will bemuch easier to put a sterile gauze pad just below the spot wherethe injection will be made, so that the blood can be caught. Itis needless to observe that the operator and his assistant mustwash up as for any operation. The tourniquet is then applied to the patients arm two orthree inches above the bend of the elbow joint, and an oval bodysuch as the wooden box in which salvarsan comes is placed in hishand to assi


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192