The direct treatment, other than by arterial injection, of the contents of the body cavities and the lumina of the hollow viscera. (Aspirate and inject highly concentrated cavity fluid)
Direct treatment, other than vascular (arterial) injection, of the contents of the body cavities and the lumina of the hollow viscera; usually accomplished by aspiration and injection of undiluted cavity fluid.
Embalming chemicals which are injected into the cavities of the body following the aspiration in cavity embalming. Cavity fluid can also be used as the chemical in hypodermic and surface embalming.
An embalming instrument which is connected to a bottle of cavity fluid to aid in injecting the cavity fluid, undiluted, into the various cavities of the body.
Apparatus that is connected to the water supply; when the water is turned on, a suction is developed and is used to aspirate the contents of the body's cavities.
A device that uses a motor to create a suction for the purpose of aspiration.
Sharply pointed surgical instrument used in cavity embalming to aspirate the cavities and inject cavity fluid. The trocar may also be used for supplemental hypodermic embalming.
A plastic threaded screw like device for sealing punctures and small round trocar openings.
Preparation room equipment used to insert trocar buttons into trocar punctures created when the trocar is inserted into the body.
Trocar Button Applicator
A line drawn or visualized on the surface of the body or a prominent anatomic structure used to locate internal structures during cavity embalming, from a point of reference two inches to the left of and two inches superior to the umbilicus.
Suture used to close small punctures or holes. A series of small stitches are made through the skin around the circumference of the opening. The ends of the thread are knotted.
Purse String Suture
- Thorough disinfection and perservation- supplementing that which is secured by arterial injection. Even though the viscera recieve arterial fluid, it is not guaranteed that the hollow organs ( in the 9 region plan of the abdomen) plus the heart and lungs will recieve the fluid. It is also good for the removal of foreign matter in the organs and liquid associated wtih ascites.
- acceleration of putrefactive changes may occur
- for insurance against putrefactive changes in tissues within the body cavities which, due to obstructions in circulation and short circuits, may not have been throughly disinfected and preserved during injection.
- Removes blood from the heart and trunk vessels which is not removed during vascular embalming.
The Purpose of Cavity Embalming
- Remove as much of the liquid and semi-solid contents of the viscera as possible and thus reduce the germicidal obligation of the cavity fluid.
- Remove gases and liquids and this relieve pressure against the blood vessels and other organs. Prevent purge.
- Remove blood from the heart and major trunk veins by direct aspiration so the blood is not forced by gravity or gas pressure into the superficial capillaries of the neck, ears, or face to cause a visible stain.
Primary Purposes of Aspiration (List Question)
- Immediate Method
- Deterred Method
The two opposing theories in cavity treatment
Immediately after injection, aspirate the body cavities to prevent gas formation and other putrefactive changes from starting or continuing.
Cavity work done an hour or two after arterial embalming has been completed to allow sufficient time for the arterial injection to take effect (usually done the next morning).
- Only practical method in high volume funeral homes.
- Eliminates the chance of gas build-up in the throacic cavity which may cause feature swelling, particularly in the neck.
- Eliminates the chance of post embalming purge, thereby, you avoid having to redo the features.
Advantages of the Immediate Method
- Will allow sufficient time to get the best results from arterial injection.
- The organs in the viscera will be firm, allowing easy entrance for the trocar.
- Liquids and fluids will have time to settle to the bottom of the cavities, thus making for easier aspiration.
- Usually only one bottle of cavity fluid will be sufficient, rather than the two or three bottles used in the immediate method.
Advantages of the Deterred Method
If drainage and fluid distribution are good and there is no swelling or purge, use the _____ method of cavity treatment (as a general rule concerning aspiration and injection of the cavities).
If drainage is poor and clotted or if there was a necessity for multiple points of injection and drainage, the ______ method is recommended (as a general rule concerning aspiration and injection of the cavities).
Always reaspirate someone else's work.
Trust no one
Invented and patented in 1878 by Samuel Rogers, who also had his own fluid called allekton.
Should be clear, temperature sensitive, rigid plastic.
- Avoid the flexible, dark, gum rubber type; they collaspe and the embalmer has no idea what is being aspirated. OSHA violation.
Used with tubing, glass jugs and jars with gooseneck attachments. these are old fashioned but should be kept on had for emergencies.
Hand pump or the Electric Air Pressure Machine
The most common method of aspiration used today. Attached to a water faucet. It will create suction with the lever turned down or will create a flow of water with the lever turned up.
The Penberthy Hydroaspirator
- Danger of contaminating local water supplies; always check to see if it complies with city ordinances or regulations.
- Southwest, drought stricken- against the law.
Many areas outlaw the use of hydroaspirators
It is an improvement over the air pressure machine system but works on the same principle. In the future, may replace the hydroaspirator as an acceptible aspiration method for EPA standards.
The Electric Aspirator
Preparation room equipment which is a complete water system containing a hydroaspirator, water outlet, gooseneck filler for the embalming machine and a snap on hose.
Water Control Unit
Enter trocar through abdominal wall __________ of the umbilicus.
- If the trocar cannot penetrate the abdomen, then it is too dull to use when penetrating the viscera.
- If the hole is made with an instrument other than the trocar, then the trocar will not fit snugly into the hole, causing a decrease in the vacuum and, consequently, in the suction power too.
Two Inches Above and Two Inches to the Left
Throughly puncture and channel all ____, ____, and ____ viscera.
Thoracic, Pelvic, and Abdominal