File:The operating room and the patient; a manual of pre- and post-operative treatment (1913) (14777238064).jpg

Identifier: operatingroompat00fowl (find matches)
Title: The operating room and the patient; a manual of pre- and post-operative treatment
Year: 1913 (1910s)
Authors: Fowler, Russell Story, 1874-1959
Subjects: Operating Rooms Patients
Publisher: Philadelphia,: Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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e latter into the bladder is indicatedby the ability to rotate it on its own axis in all directions. The passage of a metal instrument through the curved portionof the canal marks the most difficult stage ofthe operation.The beak may, at the moment of change in its direction, pressthe bulb too far down by prematurely lowering the handle,so that the wall is crowded before the instrument. Furtherprogress is blocked and the instrument must be partially with-drawn for another trial. 218 OPERATING ROOM AND THE PATIENT The method of using a gum-elastic catheter armed with astylet does not differ from the foregoing. A fiexible catheterof vulcanized rubber is easily passed, under normal conditions,by simply feeding it in, a half-inch at a time. Following catheterization the bladder is irrigated with a pint ofwarm -1 per cent, boric acid solution and a dram or two of 5per cent, argyrol solution left in the bladder. If a two-currentcatheter has been used the flow of irrigating fluid may be con-
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Fig. 152.—The fourth stage in the technic of catheterization. Thsinstrument is depressed between the thighs, and at the same time pressureis made at the root of the penis to stretch the suspensory Hgament anddiminish the curve of the membranous portion of the urethra. (FowlersSurgery.) tinuous; if a single current catheter from four to six ounces ofthe solution is allowed to run in and this is drawn off beforeintroducing more. Post-operative Pneumonia.—^May result from exposure ofthe patient while under the anesthetic; from inspiration ofsecretions from the mouth or of material vomited during anes-thesia (foreign body pneumonia); from keeping debilitatedpatients too long confined in the dorsal position (hypostatic GENERAL CONSIDERATIONS IN THE AFTER-TREATMENT 219 pneumonia); from infection carried to the lung through theblood (septic pneumonia). Aside from the ordinary con-tributing causes of pneumonia, such as age, alcoholism, cachexia;cardiac weakness, and weather conditions, th

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