The operating room and the patient; a manual of pre- and post-operative treatment . chest position. tions of the rectum and the bladder. The patient kneels uponthe table and with the thighs at right angles to the legs inclinesthe body until the chest rests upon a rather large pillow, the 186 OPERATING EOOM AND THE PATIENT head being turned to one side; the arms, flexed at the elbow,help to support the body. Final Preparation of the Field of Operation.—An assistantshould have disinfected his hands before anesthesia is dons two pairs of gloves, a heavy loose pair over the usualones. T
The operating room and the patient; a manual of pre- and post-operative treatment . chest position. tions of the rectum and the bladder. The patient kneels uponthe table and with the thighs at right angles to the legs inclinesthe body until the chest rests upon a rather large pillow, the 186 OPERATING EOOM AND THE PATIENT head being turned to one side; the arms, flexed at the elbow,help to support the body. Final Preparation of the Field of Operation.—An assistantshould have disinfected his hands before anesthesia is dons two pairs of gloves, a heavy loose pair over the usualones. The former are for use while preparing the field foroperation and are then discarded. He should have on cap,mask, and rubber apron, but should not don his gown until hehas finished preparing the patient. As the anesthesia is startedthe patient is placed in the required position. Half blanketsare arranged smoothly so as to widely expose the field of opera-tion and the area to be disinfected surrounded with sterile towels(Fig. 140). The parts are then carefully scrubbed for three. Fig. 140.—Dorsal position; ready for final preparation. minutes with soap, hot water and sterile gauze. The soapsudsare sponged away with sterile water. The skin is spongedcarefull}^ with acid bichlorid (Harringtons solution) and thendried with ether, fresh gauze being used for each area beginning at the line of incision is painted with tinc-ture of iodin on a stick sponge. The skin must be quite drybefore the iodin is applied. If the preliminary preparation hasbeen thorough it is only necessary to paint the site of operationand the neighborhood with iodin. Sinuses are disinfected bycuretting and packed with sterile gauze. In abdominal opera-tions in the female no more than the ward preparation of thevagina is necessary, unless a preliminary curettage is to be septic endometritis cases a bichlorid douche is added to therepetition of the usual disinfection. In operations upon theb
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