A manual of the modern theory and technique of surgical asepsis (1895) (14782671495)

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RM2AKJFK3–A manual of the modern theory and technique of surgical asepsis . Ah

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RM2AKJF8W–A manual of the modern theory and technique of surgical asepsis . Ah.

RM2AKJ2RJ–A manual of the modern theory and technique of surgical asepsis . : SURGICAL ASEPSIS. Plate VIII..

RM2AKHY6E–A manual of the modern theory and technique of surgical asepsis . SURGICAL ASEPSIS. Plate XL. ANAESTHESIA. 279 the maxillae. The writer has devised severalmodifications of this useful instrument, the mostimportant of which is the establishment ofgrooves in the triangular mouth-piece of theforceps (Fig. 61, b). After this modified sepa-rator (Fig. 61, a) is introduced it is turned side-wise, and by forcing the grooves into the teeth

RM2AKJBDW–A manual of the modern theory and technique of surgical asepsis . I 12 SURGICAL ASEPSIS. schlager (Fig. 27). It consists of two copper cyl-inders, one inserted into the other, and both sur-rounded by a varnished linoleum cloak. The inter-space of about two inches between the cylinders isfilled with water to the middle of the apparatus,the level of the water being shown by the glassgauge attached to the external surface of the outer.

RM2AKJETJ–A manual of the modern theory and technique of surgical asepsis . mm Urn. Micro-organisms.—1-3, Anthrax bacilli: 1, cover-glass preparation: 2, from the spleen of amouse ; 3, from cultures on a Petri plate. 4. Anthrax bacilli with spores, from a gelatin culture.5. Anthrax cultures. 6. Cultures of typhus bacilli. SURGICAL ASEPSIS. Plate III.

RM2AKJGNW–A manual of the modern theory and technique of surgical asepsis . e been caused entirely by mul-tiplication of the inoculated microbes. Further-more, the cultivation of one specimen of microbetaken from the inoculated animal must producethe same micro-organism which had been cul-tivated at first. Only when such experiments arefrequently repeated with the same result is itestablished that the specific micro-organism of adisease is discovered. It would lead too far to describe the techniqueof the investigation as well as of the cultivationof these micro-organisms, as it is only possibleto become

RM2AKJ398–A manual of the modern theory and technique of surgical asepsis . urgentcases, such as a herniotomy for an incarceratedgut, such preparations, unhappily, cannot bemade, as life may depend upon immediate ope-rative interference ; but the well-trained asepticoperator knows how to adapt himself to the emer-gency, and will even then, by rigidly carryingout the principles of prophylactic disinfection,especially upon the field of operation, maintainhis position as master of the situation. The surgeon should be surrounded by a staffof well-trained assistants and nurses, to each ofwhom his or her plac

RM2AKJ09C–A manual of the modern theory and technique of surgical asepsis . ocesses, it is particularly indicatedin all doubtful cases. Iodoform in powder or in solution is indicatedalso after laparotomy whenever it is desirableto limit the discharges; furthermore, it appearsthat absorption of the products of the microbesbecomes less virulent in its results by the co-absorption of iodoform. Ordinary hypodermic syringes can be sterilizedonly with great difficulty, the inaccessibility ofthe piston proving a decided obstacle. RobertKoch therefore discards the piston altogether, 266 SURGICAL ASEPSIS. substi

RM2AKJAPA–A manual of the modern theory and technique of surgical asepsis . the past threeyears, has given perfect satisfaction. After the dressing materials, etc. are sterilized,it is of great importance that they afterward bekept so. The way in which sterilization is gen-erally maintained is by keeping the materialsin baes, baskets, cans, or boxes. The habit ofmany surgeons is to pick the dressing from itsreceptacle as required at the time of operation,and, placing it on the table, to cut such pieces asare needed. If this practice is followed, controlof the nurses in charge of this work is absolutely

RM2AKJ2CC–A manual of the modern theory and technique of surgical asepsis . TECHNIQUE OF AN ASEPTIC OPERATION. 241 should personally superintend the necessarypreparations, and should not depend too muchupon other persons. Therefore his presence atleast three-quarters of an hour before the opera-tion is advisable. It is always important to give the nurses athorough understanding of the enormous respon-sibility resting upon them, even if they merelyhandle a piece of gauze or a needle. They,as well as the surgeon himself, should bathe daily,and they should always wear freshly-washedsuits. In the operating-

A manual of the modern theory and technique of surgical asepsis (1895) (14782671495)

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