Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
=The Rheostat.=—When we consider that the resistance between electrodes
placed on the palm of the left hand and the back of the neck is about
4,000 Ohms, it may be readily understood that considerable voltage is
required to overcome this resistance before the proper amount of current
can be employed. Since each cell, for quick reference, may be said to
represent one volt, at least twelve and not more than sixteen cells
would be required for electrolysis. Not all of the current given off
by a battery of such number of cells should be used on a patient for
electrolytic purpose. Some method must be employed to reduce this voltage
and to control it at will. This is necessary since the life of a cell
varies and its current capacity is limited according to the use the cell
is put to. An instrument of this nature is called a _rheostat_ and is
usually made of graphite or metal wire. Water resistances are also used,
but they do not permit of a constant current because of the consequent
heating and decomposition of the water into its elements at the two metal
poles exposed to the water. The proper instrument will be referred to
later.
The electric cell represents a certain voltage; to add to this more cells
are needed and connected with each other so that each adds its voltage
to other or the circuit. The method of connecting cells in this manner
is called series connection, in which the carbon element of one cell
is connected with the zinc of the next, and so forth, until the last
cell, leaving two free poles, one carbon and a zinc to which the wires
to hold the electrodes for the patient are connected. As has been said,
the carbon is the positive pole and the zinc the negative. The method of
connection is shown in Fig. 503.
[Illustration: FIG. 503.—SERIES CONNECTION.]
These two poles when brought in contact with human tissue exhibit
different action and effect. Without going into electro-chemistry it may
be said the current of the positive pole is sedative and that of the
negative irritant or destructive. That oxygen and acids are freed at the
positive pole and hydrogen and alkalies at the negative pole.
It is due to these properties of the current that it is employed
therapeutically, but to properly employ it the current must be controlled
so that the exact amount given or used can be estimated. This is
accomplished first of all by the interposition of resistance within the
circuit. This resistance should be such that the current can be increased
or decreased at will. It has been referred to and is called a rheostat.
Its position in the circuit is shown in Fig. 504.
[Illustration: FIG. 504.—SHUNT RHEOSTAT CONNECTION.]
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