. Anaesthetics : their uses and administration. lower shoulder is carried forwards, the head raised and flexedon the chest, and the thighs strongly flexed upon the whole trunk is made to incline backwards, so that theside which is uppermost is in a plane slightly posterior to thelower, that is, is a trifle nearer the operator, who sits upon astool facing the patients back. In this position the curves ofthe spinal column should be readily traced, and the lumbarspines prominent. In stout persons and in muscular men the SPINAL ANALGESIA. 439 spines are not so easily made out, but by f
. Anaesthetics : their uses and administration. lower shoulder is carried forwards, the head raised and flexedon the chest, and the thighs strongly flexed upon the whole trunk is made to incline backwards, so that theside which is uppermost is in a plane slightly posterior to thelower, that is, is a trifle nearer the operator, who sits upon astool facing the patients back. In this position the curves ofthe spinal column should be readily traced, and the lumbarspines prominent. In stout persons and in muscular men the SPINAL ANALGESIA. 439 spines are not so easily made out, but by forcible flexion ofthe head and lower extremities they can usually be felt ondeep pressure. In the figure the pelvis is raised upon a block, but thisdegree of elevation is seldom needed unless the pelvis is verynarrow or high range of analgesia is sought. The insertionof a one-inch board covered with mackintosh and a sterilisedtowel, usually suffices, but the degree of elevation must bejudged of in each case by the inspection of the pelvis and.
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