The operating room and the patient; a manual of pre- and post-operative treatment . tape for the purpose of securingthe bandage after it has been applied. This is chiefly used invaricose conditions of the lower extremity. A turn is firstmade about the ankle. The bandage is carried to the baseof the toes, and a circular turn is made there. The limb isascended by spiral turns, the bandage ending just below the knee,Reverse turns are not necessary, as the elasticity of the bandageallows it to conform to the shape of the extremity. In the caseof very muscular subjects, however, it may be necessary


The operating room and the patient; a manual of pre- and post-operative treatment . tape for the purpose of securingthe bandage after it has been applied. This is chiefly used invaricose conditions of the lower extremity. A turn is firstmade about the ankle. The bandage is carried to the baseof the toes, and a circular turn is made there. The limb isascended by spiral turns, the bandage ending just below the knee,Reverse turns are not necessary, as the elasticity of the bandageallows it to conform to the shape of the extremity. In the caseof very muscular subjects, however, it may be necessary to uselong figure-of-8 turns in order to make the bandage lie pressure should be exerted from the base of the toes to theknee. The bandage is secured by tying around the limb the twotapes which are attached to its distal end. Such a bandage is removed at night, rinsed with warmwater, dried with a towel, and hung uploosely to air. The skin of the limb iskept in good condition by light massag-ing night and morning with , in spite of this, a tendency to an. Fig. 111.—Biers method of securing temporary passive congestion in thetreatment of tuberculosis of a part. (Fowlers Surgery.) eczematous condition exists, due to daily contact of the rubberwith the skin, a thin flannel bandage may be applied next tothe skin or the rubber bandage may be applied over a whitestocking. For use in the Bier hyperemia treatment of tuber-culous joints, or of infections that have developed in thecourse of an extremity, a much shorter rubber bandage maybe employed, only half a dozen circular turns being used toproduce the required hyperemia. The skin may be protected ANESTHESIA 135 from irritation by the application of a few turns of a flannelbandage. The parts distal to the area in which it is desiredto produce hyperemia may be supported by a rubber or by aflannel bandage (Fig. 111). CHAPTER Furniture. Preparation of patient. Prevention of post-anestheticvomitin


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