FREE BOOKS

Author's List




PREV.   NEXT  
|<   69   70   71   >>  
larly scrubbed with a brush and cleanly shaved. Subsequently the hands of the operator, assistants, and nurses, and the field of operation should be immersed in, or thoroughly washed with, corrosive sublimate solution (1:1,000 or 1:2,000). Finger rings, bracelets, bangles, and cuffs worn by the surgeon, assistants, or nurses must be removed before the cleansing is begun; and the clothing covered by a clean white apron, large enough to extend from neck to ankles and provided with sleeves. The instruments should be similarly scrubbed with hot water and soap, and all particles of blood and pus from any previous operation removed from the joints. After this they should be immersed for at least fifteen minutes in a solution of beta-naphthol (1:2,500), which must be sufficiently deep to cover every portion of the instruments. After cleansing the instruments with soap and water, baking in a temperature a little above the boiling point of water is the best sterilizer. During the operation the sterilized instruments should be kept in a beta-naphthol solution and returned to it when the operator is not using them. [The antiseptic solutions mentioned here are too irritating for use in operations within the abdomen and pelvis. Water made sterile by boiling is usually the best agent for irrigating these cavities, and for use on instruments and sponges. The instruments and sponges must be previously well sterilized.] Sponges should be kept in a beta-naphthol or a corrosive sublimate solution during the operation. After the blood from the wound has been sponged away, they should be put in another basin containing the antiseptic solution, and cleansed anew before being used again. The antiseptic sutures and ligatures should be similarly soaked in beta-naphthol solution during the progress of the operation. No one should touch the wound but the operator and his first assistant. No one should touch the sponges but the operator, his first assistant, and the nurse having charge of them. No one should touch the already prepared ligatures or instruments except the surgeon and his first or second assistants. None but those assigned to the work are expected to handle instruments, sponges, dressings, etc., during the operation. When any one taking part in the operation touches an object not sterilized, such as a table, a tray, or the ether towel, he should not be allowed to touch the instruments, the dressings, or the ligatures un
PREV.   NEXT  
|<   69   70   71   >>  



Top keywords:

instruments

 

operation

 

solution

 

naphthol

 

operator

 

sponges

 
antiseptic
 

ligatures

 

assistants

 

sterilized


assistant
 

similarly

 

boiling

 

corrosive

 

sublimate

 

immersed

 

scrubbed

 

nurses

 
dressings
 

removed


cleansing

 
surgeon
 

irrigating

 

cleansed

 

sterile

 
Sponges
 

previously

 
cavities
 

sponged

 

charge


object

 

touches

 

taking

 

allowed

 

handle

 

progress

 

sutures

 
soaked
 

prepared

 

expected


assigned
 
extend
 

covered

 
ankles
 
particles
 
provided
 

sleeves

 

clothing

 

Subsequently

 

shaved