The New England medical gazette : a monthly journal of Homoeopathic medicine, surgery, and the collateral sciences . o fasten ISO The New-England Medical Gazette. [April, about the body. Sometimes I use them as rights and lefts ;sometimes, to obviate this necessity, With an extra, loose, circularcollar tied on, with many slits in the circumference, or with oneof the same shape soldered on instead of the oval collar. Thegreat advantage in this tube is, that it allows the most perfectdrainage, on account of the unusual size of its orifice ; as, beingmade of silver, it can be made very thin and y
The New England medical gazette : a monthly journal of Homoeopathic medicine, surgery, and the collateral sciences . o fasten ISO The New-England Medical Gazette. [April, about the body. Sometimes I use them as rights and lefts ;sometimes, to obviate this necessity, With an extra, loose, circularcollar tied on, with many slits in the circumference, or with oneof the same shape soldered on instead of the oval collar. Thegreat advantage in this tube is, that it allows the most perfectdrainage, on account of the unusual size of its orifice ; as, beingmade of silver, it can be made very thin and yet not collapseunder pressure. Soft rubber tubes sometimes will so collapse,unless their walls are so thick that their calibre is reduced suffi-ciently to refuse a passage to the numerous flocculi which areso apt to obstruct tubes. If it were not necessary to makeallowance for these plugs of fibrine, and if the effusion were alluniformly fluid, the problem would be greatly simplified. Some-times I keep these metallic tubes in throughout the case; andsometimes, after most of the flocculi have been gotten rid of,. substitute soft rubber tubes, which have the advantage of beingless irritating. When using the latter, I frequently arrange twoside by side, so that if one is blocked up, the other may perhapsbe unobstructed. Tubes of all kinds have to be removed andcleaned at short intervals. Long rubber tubes that are fen-estrated, and pushed into the cavity to its bottom and coiledaround, are not in my experience desirable ; for they cause toomuch irritation, and interfere with the healing process. Thesiphon principle of draining through tubes I have found quiteunsatisfactory, and decidedly prefer that by change of positionof the patient, or suction with a syringe. Unless properly guarded, the tubes will slip inside the pleuralcavity, and require to be fished out, often by a tedious and irk-some process. This accident happened to me once several yearsago, and quite a number of simila
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Keywords: ., bookcentury1800, bookdecade1880, bookpublish, booksubjectmedicine
