Transactions of the College of Physicians of Philadelphia . the instrumentwhich bears his name no less than 2502 times in twentyyears, on 154 persons, without the occurrence of asingle accident. Admirable as this instrument is, itsinferiority to Dieulafoys aspirator as a means ofemptying the pleural cavity will, I think, be generallyadmitted. In fact it is safe to say that, by the use ofthe latter instrument, the danger is reduced to a mini-mum. 2 Trans. Clinical Society of London, vol. v. p. 43. Since this statementwas published I have heard that Dr. Bowditch has had two deaths fromthe operat
Transactions of the College of Physicians of Philadelphia . the instrumentwhich bears his name no less than 2502 times in twentyyears, on 154 persons, without the occurrence of asingle accident. Admirable as this instrument is, itsinferiority to Dieulafoys aspirator as a means ofemptying the pleural cavity will, I think, be generallyadmitted. In fact it is safe to say that, by the use ofthe latter instrument, the danger is reduced to a mini-mum. 2 Trans. Clinical Society of London, vol. v. p. 43. Since this statementwas published I have heard that Dr. Bowditch has had two deaths fromthe operation, and that he attributes these to the employment of ether. \-2 HUTCHINSON, I believe, however, thai the fortunate resull whichhas been obtained in this case is owing in a large mea-sure to the introduction into the chest of a drainage-tube, by which the accumulation of pus was know there are many among the advocates of theoperation of paracentesis thoracis who have doubtsaboul the propriety of establishing a permanent com- Fi<;. L FRONT. Fig 1. Cyrtomotric tracings taken at level of fifth intercostal space. (Re-duced by the camera.) The heavy line represents the tracingtaken April 10, and the light line that taken October 28, 1875. munication between the chest and the outer air. Thatthis may sometimes be done even in patients who areotherwise unfavorable subjects for operations generally,not only without danger but with positive benefit, the KM IV EM A. L3 case I show you to-nighl will, I think, sufficientlyprove. My only regret now connected with mymanagement of this case is that I did not sooner haverecourse to the drainage-tube. I would advise itsemployment in empyema generally, in any case wheretwo tappings have failed to procure permanent relief,especially if there be a rapid re-accumulatiou of liquid ;hoping in this way, to avoid the compression of theLungs, and, to a certain extent at least, the deformityof the chest which results from this. Fig.
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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876
