Preparatory and after treatment in operative cases . mergency a curved glass eye dropper admirably fills therequirements. The reservoir holding the solution may consistof a simple fountain syringe or, if available, one of the appara-tuses shown in Fig. 206 may be used. Glass receptacles havethe advantage of permitting scrutiny of a thermometer sub-merged in the liquid without manipulation. This is, however,not essential. Indeed, in operations done in private residencestoo much apparatus becomes cumbersome, and, as a matter offact, a glass eye-dropper and a sterile fountain syringe are allthat
Preparatory and after treatment in operative cases . mergency a curved glass eye dropper admirably fills therequirements. The reservoir holding the solution may consistof a simple fountain syringe or, if available, one of the appara-tuses shown in Fig. 206 may be used. Glass receptacles havethe advantage of permitting scrutiny of a thermometer sub-merged in the liquid without manipulation. This is, however,not essential. Indeed, in operations done in private residencestoo much apparatus becomes cumbersome, and, as a matter offact, a glass eye-dropper and a sterile fountain syringe are allthat are necessary to accomplish the purpose. The receptacleshould hang about three feet above the level of the vein. The TREATMENT OF SHOCK 261 technic of the procedure is simple, a bandage is tightly placedabout the limb central to the vein to be opened, and the vesselexposed by a transverse incision (Fig. 204). The object of thecentral compression is to make prominent the vein and renderidentification more easy. However, in profound shock only little. Fig. 206.—Apparatus for Infusion. Ordinary fountain syringe. Kellys glass reservoir and infusion tube. Fowlers apparatus with thermometerattached. {Bryant.) will -be achieved as the result, for obvious reasons. After cleans-ing of the skin the vein is exposed as stated, and after isolatingit from the surrounding tissues a catgut ligature is passed roundthe vessel and left untied. Care must be taken not to puncturethe vein at this time. The vein is now ligatured by a secondcatgut ligature placed distally. The vein is opened by a trans-verse incision made through one-half its circumference, with scis-sors (Fig. 207), and the cannula is introduced, permitting thefluid to flow as the anastomosis is being made, to obviate the en-trance of air into the circulation. The loose ligature is now tiedwith a half knot about the inserted cannula and the fluid al-lowed to enter. After the infusion is completed, the cannula is
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
