Preparatory and after treatment in operative cases . on is safer and quite as effective as thevigorous, in the vast majority of instances. Tbe degree of distentionof the bag should be frequently observed in order that it may beremoved, cleansed, and reapplied without interruption of plaster applied to the chest around the opening aids in theexclusion of air. Absorbent cotton, thoroughly wet with boric-acid28 404 OPERATIONS ON THE THORAX solution, or rubber tissue hinders the passage of air beneath thecushion. It is very important in this connection to remember thatthe cotto
Preparatory and after treatment in operative cases . on is safer and quite as effective as thevigorous, in the vast majority of instances. Tbe degree of distentionof the bag should be frequently observed in order that it may beremoved, cleansed, and reapplied without interruption of plaster applied to the chest around the opening aids in theexclusion of air. Absorbent cotton, thoroughly wet with boric-acid28 404 OPERATIONS ON THE THORAX solution, or rubber tissue hinders the passage of air beneath thecushion. It is very important in this connection to remember thatthe cotton, or any small movable body, may be drawn into the chestunless care be exercised. Should this happen it can be removed quitereadily in most instances by moving around in the cavity the innerend of the tube while making suction on the outer with the syringe. In the cases to which aspiration has been applied it acted effi-ciently and promptly, and was easily managed by the patient. It seems to the writer that practicable aspiration offers the oppor-. Fig. 273.—Aspiration of Pleural Cavity. A, Glass observation tube. The dress-ing applied; apparatus held in place by safety pins while in action. (Bryant.) tunity of prompter cure in excision cases, and not impossibly mayrender needless the more serious methods of practice by obviating theconditions that prompt their use. Much contention has arisen inthe past regarding its feasibility. The writer notes with regret theseemingly strenuous tenor of these contentions. Cases complicatedwith gangrene of the lung and abundant fibrinous deposits are cer-tainly unsuited for the immediate use of aspiration experience with the simple portable apparatus devised by theauthor since the writing of the preceding clause has not in any degreelessened his belief in its efficiency, in suitable cases. On the contrary,the rapidity with which, in nearly every instance, the size of anempyemic cavity has been reduced by this simple meth
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