. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. ir into the pleural cavity, and care must be taken that noair, except that mingled with the spray, gains so doing, the risks of putrefactive change will be guardedagainst, and the discharge soon changes from pus to anodourle
. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. ir into the pleural cavity, and care must be taken that noair, except that mingled with the spray, gains so doing, the risks of putrefactive change will be guardedagainst, and the discharge soon changes from pus to anodourless serum. The opening made, it is a question whether or not thepleural cavity should be washed out. To do so with carbolicsolution, especially in children, is to run great danger of poi-soning. A salicylic lotion has no such disadvantage, but itis not so certain in its antiseptic power. If the operation have been aseptic throughout, with EMPYEMA. 235 no previous external opening or communication with thebronchial tubes, and the fluid in the pleura is sweet,syringing is not required in the first instance, and it is evenmore undesirable to practise it at any of the subsequentdressings. A drainage-tube must now be introduced—for the firstfew days the ordinary rubber-tube suffices. Extra precautions,however, must be taken to prevent its being sucked into. Fig. 47.—Drainage-Uibe, with balls of gauze attached to prevent its slippinginto the pleural cavity. A similar protection is afforded by a couple ofsafety pins introduced as in figure. the pleural cavity, and this may be easily accomplished byfastening to each of the attached silk threads a small ballof antiseptic gauze, so that, if the tube perchance slip in, itcan be readily recovered again. At a later period, should drainage be still reqmred, therubber-tube will, no longer suffice. The collapse of thechest wall diminishes the interval between the ribs, so thatthe tube is compressed and the flow of fluid arrested. 236 ANTISE
Size: 1822px × 1371px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
