Technique employed in the Children's Orthopedic Department of the University Hospital / by De Forest Willard.

  • Willard, De Forest, 1846-1910.
Date:
1900
Catalogue details

Licence: In copyright

Credit: Technique employed in the Children's Orthopedic Department of the University Hospital / by De Forest Willard. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Morning of Operation. 1. Give breakfast of milk and beef-tea before 7.30 a. m. Small quantities of water are permissible afterward. It operation is in ]>. m., give hot beef-tea four hours previous. In young children, milk four hours previous. 2. Give a simple enema early in the morning, and again two hours before the operation. 3. Repeat the cleansing outlined under above heading, 4, using a broad gauze bandage to bind on the final dressing. 4. Encourage patient to void urine just previous to operation. 5. Send specimen of urine to laboratory. <>. In all feeble cases, especially of joint suppuration, where loss of body heat would be serious, cover entire body and limbs, except the area of operation, with cotton-wadding, held firmly in place by bandages. Preparation of Hands. 1. Scrub with tincture of green soap, several changes of hot water and nail-brush for five minutes. Before and during scrubbing, clean nails thoroughly. 2. Immerse in alcohol for one minute. 3. Immerse in a saturated solution of potassium permanganate for two minutes. 4. Immerse in a.saturated solution of oxalic acid for two min- utes. 5. Immerse in bichloride solution (1-1000) for two minutes. 0. Wear rubber or cotton gloves, sterilized. Preparation of Clinic. 1. The Clinic floor and sloping sides beneath seats must be flushed out the day previous to operations. 2. The Pit must be scrubbed the morning of operation. 3. All tables, sinks, the floor and sides of the Clinic are to be wiped on the morning of operation with cloths wrung out of a solution of bichloride (1-1000). 4. All pitchers, basins, and other receptacles used during the oper- ation are to lie soaked in a 1-1000 solution of bichloride for at least one hour. 5. The electric-heated mattress is to lie placed on the operating table for every operation. The electricity is to be turned on