File:Interstate medical journal (1909) (14780742281).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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and found very satisfactory. As muchof the success of rectal anaesthesia depends upon the technique, the ♦Rectal Anaesthesia; Experimental Studies, Together with a Report of ItsPractical Employment at Roosevelt Hospital. N. B. Leggett. Annals ofSurgery, October, 1907. CARSON: RECTAL ANAESTHESIA 319 anaesthetist should study it carefully and see that the patient is properlyprepared and the bowel perfectly empty. We have adopted the methodused at Roosevelt Hospital, and as it has proved entirely satisfactory tous when properly carried out, we will give a description of it: For twenty-four hours before operation the patient is put on liquiddiet, after a laxative, preferably castor oil, has been administered. Thisis followed before bedtime by an S. S. enema. The following morning,or. day of operation, another S. S. enema is given. One hour beforeoperation the rectum is washed clean by an enema of plain warm water,the nurse being cautioned to see that the bowel is entirely emptied, which
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Fig. III. Showing head of table depressed without disturbing arrangementof apparatus. will not always be done unless the nurse is accustomed to preparing pa-tients for the rectal method, unless especially cautioned. When the pa-tient is on the table the rectal tube is carefully inserted up to the bulb.The anaesthetist opens the efferent tube and allows the gas and bowelcontents, if there should be any, to escape. The etherization should thencommence by forcing the ether into the bowel by pressing upon thecautery bulb, and rectal pressure of 20 m.m. Hg. maintained. Aboutevery five minutes the efferent tube should be opened by pressing uponthe automatic clip, which at the same time closes the afferent tube andcuts off the supply of ether and allows the escape of gas. When theanaesthesia is completed, the bowel is emptied of the ether through therectal tube, by massaging the abdomen. Some advise that the colon befilled with oxygen gas after it has been emptied of the superfluous ether 32

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