. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. for efficient prolonged drainage. It is not advisable to irrigate the cavity the day the operation is per-formed, and irriga-tion at this time isalways contraindi-cated if the em-pyemic cavity is incommunicationwith the bronchialtubes. Irrigationmay become neces-sary later if thesuppuration con-tinues. If irriga-tion becomes neces-sary at any time,care must be exer-cised in the selec-tion of the solution;carbolic acid an
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. for efficient prolonged drainage. It is not advisable to irrigate the cavity the day the operation is per-formed, and irriga-tion at this time isalways contraindi-cated if the em-pyemic cavity is incommunicationwith the bronchialtubes. Irrigationmay become neces-sary later if thesuppuration con-tinues. If irriga-tion becomes neces-sary at any time,care must be exer-cised in the selec-tion of the solution;carbolic acid andcorrosive sublimatein the usual strengthare dangerous andshould never beused. A nontoxicand yet potent anti-septic solutionshould be used—either a saturated solution of aluminium acetate or Thierschs of these solutions is efficient as an antiseptic, and nontoxic evenwhen used in large quantities. The value of the double drain is mademore apparent when it becomes necessary to irrigate the pleural placing the patient on the opposite side the fluid that enters the chestthrough one of the tubes escapes through the other as soon as the cavity is. Fig. 60.—Dressing after Operation for Empyema.— (Semi.) (MTK VIlONS. I87 full, thus washing it out thoroughly. By placing the patient on the af-fected side the cavity is emptied, when the same procedure is repeated untilthe solution returns clear. The solution used must always be heatedto blood-temperature, as irrigation with a cold solution is fraught withdanger. I have seen, in the case of a child, almost fatal collapse attendirrigation of the pleural cavity with a solution at required persistent and prolonged efforts to restore the suspendedrespiration by the administration of stimulants and artificial external dressing consists of a large and thick cushion of sterilegauze and cotton to absorb the fluid as fast as it escapes, and at the same
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Keywords: ., boo, bookcentury1900, bookdecade1900, bookidpostoperativetr00mors
