. Diseases of children. Fig. 25.—Apparatus for aspiration (Kerley). needle has penetrated too far and gone completelythrough the cavity. Care and repeated punctures willusually overcome this contingency. Treatment.—After it has been definitely decided thatthe case is one of empyema there are two procedureswhich the physician may follow. In the large number DISEASES OF THE RESPIRATORY TRACT 87 of cases he will have the child operated upon. In afewer number of cases he will have the pleural cavityaspirated. Operation.—This consists in opening the pleural cavity,removing the pus, and draining. Th
. Diseases of children. Fig. 25.—Apparatus for aspiration (Kerley). needle has penetrated too far and gone completelythrough the cavity. Care and repeated punctures willusually overcome this contingency. Treatment.—After it has been definitely decided thatthe case is one of empyema there are two procedureswhich the physician may follow. In the large number DISEASES OF THE RESPIRATORY TRACT 87 of cases he will have the child operated upon. In afewer number of cases he will have the pleural cavityaspirated. Operation.—This consists in opening the pleural cavity,removing the pus, and draining. There are severalmethods employed. A simple incision or an incision. Fig. 26.—Apparatus used after operation for empyema to fully expand collapsedlung. One bottle is filled with water which may be colored, the air pressure necessaryto force water from one bottle to the other causes the lung to expand. Ordinary widemouth bottles may be used if the tubing is applied as in the illustration. and the removal of a portion of one or more ribs forbetter drainage are the methods usually followed. Arubber tube is inserted into the cavity to insure perfectdrainage. Aspiration is accomplished by plunging a large needleor trocar and canula through the chest wall and havingthe instrument used attached by a tube to a vacuum 88 DISEASES OF CHILDREN FOR NURSES pump. This method does not remove all of the pusnor the shreds of fibrinous material, and often has tobe resorted to repeatedly, as proper drainage is notestablished. After-treatment.—This consists in methods employedto bring about the full expansion of the lungs. Forthis purpose two bottles connected by tubi
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Keywords: ., bookcentury1900, bookdecade1910, bookiddisea, booksubjectchildren
