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Related post: Independent Suspension of the Head. By John J. Reed,
M. Diltiazem 120mg D., Yisiting Physician to Charity Hospital.
The method of extension here proposed is offered as Diltiazem 30mg an
advance on that usually practised, and possesses important
advantages. It requires no skill other than that needed in
ordinary Diltiazem 240 Mg surgical procedure, and no apparatus beyond the
resources of any practitioner.
It does away with the necessity of the air-mattress, inas-
much Diltiazem 30 Mg as it permits of extension, sufficiently prolonged to
allow the Verapamil Diltiazem plaster of Paris to become hard. The second
feature, that of independent suspension of the head, com-
mends itself as a Diltiazem Online safe method of practice in cases of disease
of the cervical or upper dorsal vertebrae, and was suggested
by records of laceration of the spinal cord from forcible and
unguarded extension. This might readily be anticipated
when the pathological condition of the affected vertebrae is
considered.
38
SUSPENSION BY ADHESIVE PLASTER IN
The method was introduced for the more satisfactory
treatment of spinal disease in patients at the 'New York
Foundling Asylum, and the results attained have been such as
to specially indicate it in children and young persons.
The steps of the method are : Application of strips of
adhesive plaster (Fig. 1) Diltiazem Xt ; use of Diltiazem 2 Ointment roller of soft gauze to bind
the adhesive plaster (Fig. 2) ; suspension (Fig, 4) ; applica-
tion of plaster-of-Paris bandage ; removal of adhesive plaster
(Fig. 3) ; Diltiazem Fissure suspension of the head (Fig. 4).
Fio. 1.
Fig. 1 a.
Strips of adhesive plaster, two and a half inches in width,
are applied along the back, across the shoulder, and down
the body anteriorly, leaving a loop for applying suspension.
Over the adhesive plaster, and corresponding with it, is placed
a Diltiazem 180 piece of roller bandage. This becomes of use later on, when
it is necessary to remove the adhesive plaster. Both of these
are shown in Fig. 1. In the loop is a piece of perforated
wood to protect the adhesive plaster, and at the base of the
loop (Fig. 1 rt) is a clamj) to bind the adhesive strip to the
upper part of the trunk, and Diltiazem 180 Mg thus obtain a greater purchase.
TREATMENT OF DISEASES OF THE SPINE.
30
The next step is important, as it does away with the
knitted shirt, and leaves in its place an env^elope of soft gauze
applied in the form of a bandage. The reason for tlie use of
the gauze specially exists in the necessity of a roller to bind
the adhesive plaster to the skin ; and, after the plaster of Paris
is applied, it incorporates with it and forms a perfectly fitting
ehirt.
Fro. 2.
The roller is commenced from above and carried down-
ward. After the Diltiazem 180mg patient is suspended, it usually requires to
be readjusted about the lower part of the body, to conform
with the straightening which takes place from suspension.
In regard to the Diltiazem Verapamil means of suspension, it consists of either
a hook in the ceiling, or some fixed point above. To 2 Diltiazem Cream this is
connected a pulley. Diltiazem Xr Passing through the pulley is a rope
which is attached to Diltiazem Tablets an iron cross-bar (Fig. 4). From either
end of the cross-bar cords pass down and through the per-
forated Diltiazem 90 Mg wood in the loops of adhesive plaster. The rope has
on it an ordinary clutch (Fig. 4), which readily secures it at
any point.
In applying the plaster-ot-Paris jacket, the ordinary plas-
40
SUSPENSION BY ADHESIVE PLASTER IN Diltiazem 30
ter-of-Paris roller is employed. It consists of a layer of gauze
spread with plaster of Paris, and tliorongbly saturated before
being bound around the body.
When tlie plaster has hardened, the patient is lowered
down. There then remains one of two things to be Diltiazem Cream 2 done,
either to remove the adhesive strips or allow them to remain
for daily suspension. If it is desired to remove the adhesive
plaster, the shoulder loops are cut (Fig. 3), and the free end of
the adhesive plaster is pinned to the end of the superimposed
bandage. Traction made upon the bandage at the lower
border of the plaster-jacket peels off the adhesive plaster, as
will be readily understood by examining the engraving.
Fig. 3.
In cases of spinal disease of children, it is difficult, if not
impossible, to teach them to practice daily extension, and to
overcome this the author has taken advantage of the means of
suspension by adhesive plaster to make periodic extension
without being thwarted by the caprice of the patient.
Instead of ordinary adhesive plaster, a variety known Diltiazem Sr as
rubber adhesive is used. The advantage possessed by this
latter consists in its increased adhesive properties without irri-
tant action on the skin; and, instead of removing it, it is re-
TREATMENT OF DISEASES OF THE SPINE.

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