The operating room and the patient; a manual of pre- and post-operative treatment . first turn of the bandage around the chest. Descending Spica Bandage of the Shoulder.—^The initialextremity of the bandage (Fig. 57) is secured by means of one ortwo circular turns around the arm at the level of the axillaryfold or at a short distance below it. The roller is carried over theshoulder to the anterior aspect of the chest as high up as it can bemade to stay, then under the axilla of the opposite side, aroundthe posterior aspect of the chest, to the starting-point, where a BANDAGING 83 circular turn
The operating room and the patient; a manual of pre- and post-operative treatment . first turn of the bandage around the chest. Descending Spica Bandage of the Shoulder.—^The initialextremity of the bandage (Fig. 57) is secured by means of one ortwo circular turns around the arm at the level of the axillaryfold or at a short distance below it. The roller is carried over theshoulder to the anterior aspect of the chest as high up as it can bemade to stay, then under the axilla of the opposite side, aroundthe posterior aspect of the chest, to the starting-point, where a BANDAGING 83 circular turn is taken. These turns alternate one with another,each chest turn descending by one-third the width of the preced-ing turn until the shoulder is completely covered in. The band-age is finally completed by a circular turn around the arm. Thesame precautions are taken, as regards the opposite axilla, as inthe case of the ascending spica of the shoulder. Velpeau Bandage.—^Two or more roller bandages are arm of the affected side is drawn across the chest, the palmar. Fig. 56.—Ascending spica of the Fig. 57.—Descending spica of theshoulder. (Fowlers Surgery.) shoulder. surface of the fingers resting upon the sound shoulder near thebase of the neck. The initial extremity of the roller is placedover the scapular region of the unaffected side, and the roller iscarried over the point of the affected shoulder; thence it is carrieddown across first the outer and then the posterior surface ofthe arm of the same side, and under the elbow to the anteriorchest wall, from which point it should pass diagonally across the 84 OPERATING ROOM AXD THE PATIEXT anterior chest wall upward to the axilla of the unaffected side,and under the axilla to the starting-point, thus completing thefirst turn (Fig. 58). This turn is repeated in order firmly tofix the initial extremity of the roller. From the scapular regionthe roller is carried directly around the bod}, passing over theelbow o
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
