The principles and practice of modern surgery — John Shaqi
The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
Toward the end first mentioned--namely, the limitation of hyperemia--we
may adopt local and general measures. Local measures include graduated
pressure, providing this is not intolerable to the patient, so
equalized that outside of the vessels it shall equal that inside. This
may be done by careful bandaging, extreme care being taken that the
pressure be applied from the very extremity of the limb; otherwise,
passive exudation might be augmented and gangrene be precipitated.
Elevation of a limb will often accomplish the same purpose. Cold, which
is in effect an astringent and which tends to contract bloodvessels,
is another measure in the same direction, and if applied early will
do much to limit the degree of the attack. This may be applied as dry
or moist cold, and should be gradually mitigated as the congestion
subsides. It acts through the vasomotor system, and is a measure to be
resorted to with caution. An efficient way of applying dry cold can be
extemporized by a few yards of rubber tubing, held in place by wire
or sewed in place to a piece of cloth, through which a stream of cold
water is permitted to pass.
Heat is another efficient means, acting, however, in a rather different
way. Heat is a measure to be employed to hasten the disappearance of
exudation--in other words to quicken resorption, which it does by
equalizing blood pressure, dilating the capillaries, stimulating the
lymphatic current, and in every way helping to clear the tissues of
that which has left the bloodvessels.
Public-domain text, read in full here on John Shaqi.
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