Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
+Iodoform.+ The action of iodoform is not due directly to its ability to
destroy germs but to its undergoing decomposition in the presence of
moisture, liberating iodin and thus rendering inert ptomains that have
resulted from the growth.
+Iodoform Powder+ is rapidly absorbed by the skin and fatal cases of
iodoform poisoning have occurred from treating burns with it.
Iodoform is also used in ointment form and in suppositories. As it is
insoluble in water it is commonly used in a 10 per cent. emulsion. The
gauze is also greatly used.
The symptoms of iodoform poisoning are: delirium; odor of iodoform on
the breath; presence of iodoform in the urine; eruption over the skin,
and finally, coma. Iodoform is also capable of producing a localized
dermatitis, with great irritation, and must therefore be used with
care on all delicate skins.
+Aristol+, a substitute for iodoform, is a compound of iodin and thymol,
producing no toxic effects and having no disagreeable odor; it does
not, however, possess the germicidal qualities of iodoform. Nosophen,
iodol, and airol are among the more recent substitutes.
+Iodin.+ This drug no doubt possesses more germicidal properties than
was at one time supposed. It is probably the most powerful
antipyogenic known. The 7 per cent. tincture is the one most
frequently used.
+Acetate of Aluminum+, or more properly, aluminium, is prepared by
adding five parts of sugar of lead to a solution of five parts of alum
in 500 parts of distilled water. Burow’s solution, see page 35, is
chiefly employed as a wet dressing.
+Chloride of Zinc+ in a solution of 15 to 30 grains to the ounce, has
marked antiseptic properties, but it blanches the tissues when applied
to infected wounds.
+Sulphocarbonate of Zinc+ is less irritating than the chloride of zinc
and is of the same value as a germicide.
+Peroxide of Hydrogen+ when used as a 15 volume mixture or diluted,
seems to have a direct action upon pus generation by destroying
microorganisms of the pus. It is frequently employed for sterilizing
abscess cavities, and for hastening the separation of necrotic tissue.
This agent has also a marked hemostatic power and is used to some
extent on this account in nose and throat work. Its hemostatic power
is also observed in bone cavities. Care should be taken never to use
it unless there is a free exit, as it increases rapidly in volume
after coming in contact with dead tissue or pus, and serious accidents
have happened from its improper use; for instance, if it is injected
into an abdominal sinus where free escape is not provided for, the
distention will result in ruptures of the sinus and infiltration of
the surrounding tissues; possibly of the peritoneal cavity. The
distention produced by it is also quite painful and therefore only a
small quantity, or a much diluted solution should be introduced into
cavities.
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