. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ized; the needle is then gently advanced between the differ-ent nerve-bundles and the infiltration continued until the nervepresents a fusiform swelling at this point, which may require fromS to 15 minims of solution. Complete anesthesia of its entire distribution usually results infrom five to ten minutes, but may exceptionally be delayed to twentyminutes
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ized; the needle is then gently advanced between the differ-ent nerve-bundles and the infiltration continued until the nervepresents a fusiform swelling at this point, which may require fromS to 15 minims of solution. Complete anesthesia of its entire distribution usually results infrom five to ten minutes, but may exceptionally be delayed to twentyminutes or longer. After making the injection the wound made toexpose the nerve should not be immediately closed, but loosely ap-proximated by stitches and protected by dressings, as it may occa-sionally be necessary to make additional injections, particularly ifthe operation is at all protracted. Regional anesthesia may also be employed by the Schleich infil- 176 LOCAL ANESTHESIA tration method by creating a circular ring of infiltration edemaaround a peripheral part, such as a finger, and might, in exceptionalcases, be utilized higher up on the extremities when quite thin, andin parts where the nerves which are encountered are not of such. Fig. 17.—Apparatus for rapid massive infiltration anesthesia. with air-pump (Matas). Charging the cylinder size as cannot readily be penetrated in effective quantities by theweak infiltrating fluid. The above method while simple, effective,and often quickly executed, with suitable instruments, such as theMatas infiltrator (Figs. 17 and 18), is not to be recommended whenregional methods or vein anesthesia can be applied.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
