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Updated: May 31, 2025
In aseptic wounds the tube may be removed in from twenty-four to forty-eight hours, and where it is important to avoid a scar, the opening should be closed with a Michel's clip; in infected wounds the tube must remain as long as the discharge continues. The fascia and skin should be brought into accurate apposition by sutures.
In doubtful cases the possibility of rendering the parts aseptic will often decide the question for or against amputation. If thorough purification is accomplished, the success which attends conservative measures is often remarkable. It is permissible to run an amount of risk to save an upper extremity which would be unjustifiable in the case of a lower limb.
In such conditions as compound fractures and severe lacerated wounds, much can be done to avert the conditions which lead to pyæmia, by applying a Bier's constricting bandage as soon as there is evidence of infection having taken place, or even if there is reason to suspect that the wound is not aseptic.
Often, however, it may be administered intramuscularly with advantage in aseptic preparation as offered in ampules, at the rate of one ampule every three hours for two or three times, and then once in six hours for a few times, the future frequency depending on the indications. These substances certainly would not be indicated in high blood pressure; they are indicated in low blood pressure.
In the same way the term aseptic conveys the idea of freedom from all forms of bacteria, putrefactive or otherwise; and the term antiseptic is used to denote a power of counteracting bacteria and their products. #General Characters of Bacteria.# A bacterium consists of a finely granular mass of protoplasm, enclosed in a thin gelatinous envelope.
It is but a short step from antiseptic operations to our own era of aseptic surgery, and that a step in the direction of simplicity. Now we know that the sterilization of the air is rarely necessary and have dispensed with Lister's elaborate apparatus.
Further, if necessary, one may divide with impunity, both tendons on each leg, at the same time. In all cases this operation is done by observing strict aseptic precautions and the legs are, of course, bandaged. If both tendons are divided, splints should be employed and kept in position for ten days or two weeks.
If you would like to study German sausages, though, there is a pile of it down there on the roof." And even he shuddered as he recalled that awful carnage. A bright-looking chap, dressed in the smart uniform of a steward on a gentleman's yacht, appeared at the door, but was not allowed to come in by Lawrence's aseptic guardians.
On the far side of the glass there was, obviously, an aseptic environment room now being used as an isolation chamber. A man paced up and down beyond the glass. Calhoun knew he must be a para because he was cut off in idea and in fact from normal humanity.
Gilfoyle said, "You're no judge or else you're jealous." The two men read it, and said, "Mush!" and "Slushgusher!" but Marguerite's eyes belonged to Gilfoyle the rest of the evening, also her hands now and then. Remembering this, Gilfoyle was uneasy. One ought to be careful to keep an aseptic memory at home. Yet if this was not infidelity, what would be?
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