An Epitome of the History of MedicinePark, Roswell
History
An Epitome of the History of Medicine
Park, Roswell
Medicine -- History
The original method of Lister was very elaborate, and included also the
dissemination throughout the air of the operating-room{325} of a vapor
of carbolic acid, which was disagreeable, sometimes almost fatal, to
operators and bystanders alike,--its use being based upon the notion
that the air was the substance most to be dreaded. The instruments were
placed in strong antiseptic solutions, usually carbolic, which were
pungent and irritating to the hands of all that came in contact with
them. So thoroughly and ubiquitously were antiseptic materials employed
that it was soon learned that they were of themselves rather injurious
to the best interests of the patients upon whom they were employed.
Their use, of course, was contingent upon the notion, then everywhere
prevalent, that powerful substances must be used in order to counteract
the activity of the much-dreaded germs.
In the course of time, however, it was learned that the air was not so
much to be dreaded as had been supposed, and that even if it came in
contact with raw tissues infection did not certainly follow. It was
found also that the antiseptic solutions which had been so freely used
for irrigating or drenching the parts during an operation were by no
means essential, and that tissues often healed better which had not been
subjected to so much irritation. It was learned further that it was not
necessary to impregnate dressings with these same solutions, providing,
in the first place, they were carefully sterilized by the application
of heat, which in time came to be used for the purpose of sterilizing
everything not injuriously affected by it. In consequence, then, all
dressing material, silk ligatures, instruments, nail-brushes, etc., were
subjected to live steam or to boiling water for twenty minutes or more,
which was demonstrated to be completely effective in the destruction
of all organic or bacterial life. This, of itself, was a very great
simplification of the antiseptic method. It was also demonstrated that
the vital fluids of the animal body had of themselves great germicidal
power, and that the strong antiseptic fluids previously used tended
rather to impair{326} this power than to enhance it. Accordingly, fluids
for irrigation came to be used only when there was some noxious material
to be washed away. It was found that fresh wounds healed most kindly
when least irritated by applications of any kind, providing only that
nothing came in contact with them which could infect them. And, in this
way, as well as by resort to simpler rather than complicated procedures,
there was gradually substituted for the so-called _anti_septic method
that which is now everywhere recognized, and always practiced, when
possible,--i.e., the aseptic method. This simply means that it is very
much better to exclude germs than to permit of their access and then try
to kill them after they have lodged. The aseptic method is, therefore,
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