Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
+Boric Acid+ is not very actively antiseptic, but even in a saturated
solution it is not irritating. Where bichloride or carbolic dressings
have produced irritation of the skin, or burns, a boric acid ointment
is a very satisfactory substitute.
+Salicylic Acid+ is an antiseptic of value. It is generally used in the
form of an ointment. It is but slightly soluble in water.
+Potassium Permanganate+ by its rapid liberation of oxygen, acts as an
antiseptic of proven merit for the disinfection of foul wounds and
ulcers. It is also used satisfactorily for disinfecting the hands in
preparation for operations, in the form of a 5 per cent. solution, any
stain being removed later by a saturated solution of oxalic acid.
+Alcohol+ possesses marked antiseptic properties and is one of the best
agents for the sterilization of the hands of the surgeon, and for the
skin of the patient. A 60 or 75 per cent. solution of alcohol is much
more efficacious as a skin disinfectant than a 95 per cent. solution.
This is because the purer alcohol is much less penetrating than the
dilute. It is also used when diluted with water, one part to four, as
a dressing for granulating wounds. It is efficacious in limiting the
action of carbolic acid, when this agent has been applied in full
strength.
It is a useful agent in which to store certain materials such as
ligatures, sutures, etc.
+Silver Nitrate+ possesses undoubted antiseptic properties, and
solutions of varying strengths are decidedly antiseptic. These
solutions are from 5 grains to the ounce, to 60 grains to the ounce.
The solid stick of nitrate of silver is used for destroying exuberant
granulations. Among the different silver preparations on the market,
protargol and argyrol are the best known. Both of these are
extensively used in the treatment of inflammations of the mucous
membranes.
The unguentum of Crede, is an ointment of silver which is used in
cases of septic infection and also in localized inflammations. From 15
to 45 grains of silver can, in this form be rubbed into the skin. It
is absorbed and undoubtedly exercises an antiseptic influence on the
infecting microorganisms.
+Saline Solution+, or normal, or isotonic salt solution, as it is called
because of its close approximation to the blood serum, consists of a
solution of 7 per cent. of sodium chloride in plain sterilized water.
Roughly speaking and for ordinary purposes, this solution can be made
by adding an even teaspoonful of ordinary table salt to one pint of
boiled water and then reboiling the mixture.
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