File:The operating room and the patient; a manual of pre- and post-operative treatment (1913) (14799153293).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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.Adhesive plaster is also usefid for exercising direct pressureupon a part as in strapping a joint or strapping the testicle; forexerting indirect pressure as in retaining a graduated compressin position: for securing immobilization in fractures; for pre- PREPARATION OF INSTRUMENTS AND SUPPLIES 61 venting the development of deformities, as in the prevention ofthe equinus position of the foot in patients long confined to bed,(Fig. 24); for relieving hyperemia as in the ambulatory treatmentof ulcer of the leg (Fig. 153); for making extension, (Fig. 25); forpreventing inversion of the lips of a deep wound, as in stoutpatients in whom there has been fat necrosis in the wound. In applying plaster to any part of the body the parts shouldfirst be cleansed and, if necessary, shaved. If it becomes neces-sary to apply a second strapping to a part, the plaster should,if possible, be made to avoid any irritated areas that have resultedfrom the first strapping. Alcohol or benzin will faciliate the
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Fig. 25.—Extension with adhesive plaster. (Fowlers Surgery.) removal of ordinary plaster, Benzin is an excellent solvent forplaster and may also be used for cleansing the skin after theremoval of the plaster. With zinc-oxid plaster it is not usuallynecessary to use either alcohol or benzin. When the plaster isremoved it is less painful to the patient if, after the plaster hasbeen started, the skin is pulled away from it with one hand whilesteady traction is made on the plaster with the other hand.If the plaster is pulled away from the skin too rapidly andwithout the above precaution the edges of the plaster, whereit has become most adherent to the skin, are apt to pull awaysome of the superficial layers of the skin, and in some instancesan injury resembling a scratch results. Adhesive Plaster Abdominal Scultetus (Fig. 26).—^This formof dressing was advocated by Boldt as a means of supportingthe abdominal wall after laparotomy and thus allows of theearlier moving about of the patie

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