Pye's elementary bandaging and surgical dressing : with directions concerning the immediate treatment of cases of emergency for the use of dressers and nurses.

  • Pye, Walter, 1853-1892
Date:
1910
Catalogue details

Licence: In copyright

Credit: Pye's elementary bandaging and surgical dressing : with directions concerning the immediate treatment of cases of emergency for the use of dressers and nurses. Source: Wellcome Collection.

    199/256 (page 187)
    Interrupted, Injections.—Plain enemata of one to two pints slowly introduced into the bowel and allowed to remain. Continuous irrigation into the rectum by means of an irrigator and tube, as in the preceding opera- tion, a long soft rectal tube pushed well up into the bowel being substituted for the needle. Saline given in this way is extremely valuable in cases of collapse, haemorrhage, or toxaemia, and it is surprising how readily great quantities can be ab- sorbed, and with what benefit to the patient. Raising the pelvis not only assists the intro- duction of the fluid, but helps the patient to pig g4,—Cannula for the Administration of retain it. Saline per Rectum. The portion beyond the The method dotted line lies within the lumen of the bowel. ^ • ect jn„. sa_ line into the rectum in a continuous manner is now largely employed in the treatment of cases of peritonitis, with excellent results. The patient is propped up in bed in what is called “ Fowler’s Position,” and a glass tube bent to a right angle three inches from the rounded end (Fig. 84) is intro- duced into the rectum. The tube is connected to an irrigator, or some other form of apparatus which maintains the saline at a temperature of 103-110°, according to the length of tubing through which it has to pass. The saline is then allowed to flow slowly into the bowel, from which it is absorbed and carried into the circulation. As much as seven or eight pints may be absorbed in twelve hours, but the flow must be regulated so that the fluid does not distend the bowel, only to be ejected later. This treatment may be maintained with advantage