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Preparation Of The Patient For Peroral Endoscopy

The suggestions of the author in the earlier volumes in regar...

Training For Motion

"IN every new movement, in every unknown attitude nee...

Complications Following Esophagoscopy

These are to be avoided in large measure by the exercise of ...

Cardiac Disease In Pregnancy

It is so serious a thing for a woman with valvular lesion or ...

Facts

In 1845-46 there was an epidemic in Dresden, a city of 100,00...

Choice Of Time To Do Bronchoscopy For Foreign Body

The difficulties of removal usually increase from the time of...

Chloroform

See Child-bearing. ...

Constipation

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Tuberculosis

In the non-cicatricial forms, galvanocaustic puncture applie...

Venous Pressure

The venous pressure, after a long neglect, is now again being...

Lumbago

Lumbago differs from both paralysis and cramp of the lower bac...

Acute Dilatation Of The Heart In Acute Disease

It has for a long time been recognized that in all acute prol...

Burns Case Xxxiii

A little girl, aged 10, scalded her breast a week ago and has...

Onion Cases

All too many of my cases are what I privately refer to as oni...

Breath And Blood

Often difficulty of breathing, especially in close air, mistak...

Headache

There is a vast variety of ailments associated with what is ca...

Band Flannel

A piece of fine new flannel made to cover the whole back, and ...

The Effort Of Digestion

Digestion is a huge, unappreciated task, unappreciated becaus...

Blood Pressure In Children

May Michael, [Footnote: Michael, May: A Study of Blood Pressu...

Douche Cold

In its most powerful form this is a solid stream of water dire...



Asepsis





Category: INSTRUMENTARIUM
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Strict aseptic technic must be observed in all endoscopic
procedures. The operator, first assistant, and instrument nurse must
use the same precautions as to hand sterilization and sterile gowns as
would be exercised in any surgical operation. The operator and first
assistant should wear masks and sterile gloves. The patient is
instructed to cleanse the mouth thoroughly with the tooth brush and a
20 per cent alcohol mouth wash. Any dental defects should, if time
permit, as in a course of repeated treatments, be remedied by the
dental surgeon. When placed on the table with neck bare and the
shoulders unhampered by clothing, the patient is covered with a
sterile sheet and the head is enfolded in a sterile towel. The face is
wiped with 70 per cent alcohol.

It is to be remembered that while the patient is relatively immune to
the bacteria he himself harbors, the implantation of different strains
of perhaps the same type of organisms may prove virulent to him.
Furthermore the transference of lues, tuberculosis, diphtheria,
pneumonia, erysipelas and other infective diseases would be inevitable
if sterile precautions were not taken.

All of the tubes and forceps are sterilized by boiling. The
light-carriers and lamps may be sterilized by immersion in 95 per cent
alcohol or by prolonged exposure to formaldehyde gas. Continuous
sterilization by keeping them put away in a metal box with formalin
pastilles or other source of formaldehyde gas is an ideal method.
Knives and scissors are immersed in 95 per cent alcohol, and the
rubber covered conducting cords are wiped with the same solution.





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