The practice of obstetrics, designed for the use of students and practitioners of medicine . the wound (Fig. 1036). Thevessel is then tied with fine catgut as low down as possible and a second ligatureis placed high up, ready to be knotted when desired. Half of the circumfer-ence of the vein is now divided with scissors, the incision being just abovethe knotted ligature. The cannula with its stream of running water is nowinserted as far as possible into the incision, with point directed toward the heart,and the second ligature knotted to retain the instrument in place. The knotshould be a bow,
The practice of obstetrics, designed for the use of students and practitioners of medicine . the wound (Fig. 1036). Thevessel is then tied with fine catgut as low down as possible and a second ligatureis placed high up, ready to be knotted when desired. Half of the circumfer-ence of the vein is now divided with scissors, the incision being just abovethe knotted ligature. The cannula with its stream of running water is nowinserted as far as possible into the incision, with point directed toward the heart,and the second ligature knotted to retain the instrument in place. The knotshould be a bow, in order that the ligature shall be only temporary. Afterthe cannula is removed the same ligature may be used for the purpose of tyingthe central end of the exposed vein. After application of the temporary liga-tures the tourniquet should be re-moved. Kemp emphasizes the factthat a very common mistake of thebeginner is neglecting to remove thetourniquet before proceeding withthe infusion; under these circum-stances the increase in intravenouspressure will burst the vein sooner V Fig. 1036.—Infusion of Sal-ine Solution into a VeinOF THE Arm. Fig. 1037.—Same as , BUT Enlarged. Fig. 103S.—Can-nula for In-travenous In-fusion. Enteroclysis.—No special apparatus is required, as the single- or double-cur-rent irrigation tubes will suffice. Assuming that the solution should have a tem-perature in the intestine of at least 100° F., it should be exhibited one or twodegrees higher to allow for slight cooling. The dorsal position appears to be thebest, the hips being slightly elevated. It is well to let the solution escape whilethe tube is being inserted. A number of double-current rectal tubes have beendevised for the purpose of continuous exhibition of liquids. There are otheradvantages connected with the double system, for the temperature as well asthe quantity is under control. Continuous irrigation may easily be maintainedfor an hour or more, and the patien
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
