TREATMENT 75 



cavity or morphin hypodermically may be 

 substituted, but in our hands these agents have 

 been greater disappointments as surgical nar- 

 cotics than chloral hydrate, which, given as 

 above described on an empty stomach, always 

 produces some measure of blunted sensibility 

 that facilitates the control of the patient if it 

 does nothing more. 



When chloroform anesthesia is used, every- 

 thing is made ready before it is administered in 

 order to shorten the duration of unconscious- 

 ness to the minimum. 



Restraint. — The standing position even with 

 the best stocks is by no means an adequate 

 restraint for effectual work. The lunging sub- 

 ject is in danger of injury and the movements 

 of the neck prevent accuracy of technic. The 

 standing position answers well enough for lat- 

 eral incisions, such as may be required to evac- 

 uate abscesses preparatory to the operation, 

 but when the center of the withers must be in- 

 vaded for the purpose of resecting a necrotic 

 ligament or of perforating the cervical muscles 

 for drainage, the control must be complete — 

 perfect. 



The preferable method is rope restraint, with 

 all fours folded securely under the body. The 

 collar part of the rope must pass from breast 



