. 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. Fig. 6.—Formation of an intradermal wheal (Braun). I point of entrance of the needle may first be anesthetized with ethylchlorid, but this is ordinarily unnecessary; if the skin at the selectedpoint is first pinched up between the thumb and finger and heldfirmly it lessens its sensibility; with a quick but light thrust theneedle is advanced beneath the epi
. 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. Fig. 6.—Formation of an intradermal wheal (Braun). I point of entrance of the needle may first be anesthetized with ethylchlorid, but this is ordinarily unnecessary; if the skin at the selectedpoint is first pinched up between the thumb and finger and heldfirmly it lessens its sensibility; with a quick but light thrust theneedle is advanced beneath the epidermis. While making this ini-tial stick the thumb should be on the plunger, so that at the momentthat the needle enters the skin the solution can be injected; in thisway this initial stick is often made without the patients injection must be intradermal and not subcutaneous; itshould develop a distinct wheal, which stands up from the surround-ing surface like an urticarial wheal (Fig. 6). This anesthetic point PRINCIPLES OF TECHNIC 169 should be regarded as a station from which the anesthesia is dis-tributed in the desired direction, either continuously in an intra-. Fig. 7.—Illustrating technic of cutaneous infiltration (Schleich method) (Braun).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
