Читать книгу The Surgery of the Skull and Brain - Louis Bathe Rawling - Страница 25

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When the patient is fully under the anæsthetic, the final cleansing of the scalp is carried out and the operative field cut off from all possible sources of infection. In the States, in Cushing’s clinic, the anæsthetist is completely covered with a large sterilized sheet, which is fastened to the head of the patient. In this country we prefer that our anæsthetist should have full knowledge of the progress of the operation, and I think that the advantages are with us. In any case, the whole head is enveloped in gauze, two or three layers thick and about 18 inches square. This sheet is thrown over the patient’s head and maintained in position by means of the scalp-tourniquet (see pp. 14, 15). Around this sterilized towels are arranged, either fastened to one another or stitched to the scalp. When the operation is conducted in the temporal region the towels, unless fastened to the skin by means of a few sutures or safety-pins, tend to become displaced, and by so doing add to the risk of wound infection.