A system of surgery / Benjamin Bell . y 438 Of dimbiijhing Pain Ch. XLV, fupply the parts upon which the opera-tion is to be performed. Narcotics of every kind might be em-ployed for the purpofe of leffening gene-ral fenfibility; but nothing anfwers thiswith fuch certainty and effect as opium. But as medicines of this kind, whengiven in fuch large dofes as to prevent,or diminifh pain, are apt to induce fick-nefs and vomiting, I feldom venture ongiving them before an operation. Ingeneral they prove moll ufeful whengiven immediately after, when they verycommonly alleviate that pungent fore-nefs
A system of surgery / Benjamin Bell . y 438 Of dimbiijhing Pain Ch. XLV, fupply the parts upon which the opera-tion is to be performed. Narcotics of every kind might be em-ployed for the purpofe of leffening gene-ral fenfibility; but nothing anfwers thiswith fuch certainty and effect as opium. But as medicines of this kind, whengiven in fuch large dofes as to prevent,or diminifh pain, are apt to induce fick-nefs and vomiting, I feldom venture ongiving them before an operation. Ingeneral they prove moll ufeful whengiven immediately after, when they verycommonly alleviate that pungent fore-nefs of which patients at this time ufual-ly complain; and by continuing to givethem in adequate dofes from time totime, we are often enabled to keep thepatient eafy and comfortable, till reliefis obtained by the formation of matter,or by the removal of that inflammatorytenfion which ufually accompanies everycapital operation: And as this provesnot only highly comfortable to the pa-tient, but tends in the mort effectual man- PLATE LXZ2 Ch. XLV. in Chirurgical Operations. 439 manner to moderate the febrile fymp-toms which commonly take place, itmould never be omitted. It has long been known, that the fen-fibility of any part may not only be lef-fened, but even altogether fufpended, bycomprefling the nerves which fupply it:And accordingly, in amputating limbs,patients frequently defire the tourniquetto be firmly fcrewed, from rinding thatit tends to diminiih the pain of the ope-ration. The effect of this, however, being in-confiderable, it has lately been propofedby Mr James Moore of London, to com-prefs the principal nerves fo completelyas to render the parts beneath altogetherinfeniible. In Plate LXXIII. an inftru-ment is delineated, by which this maybe very effectually done. Whether or not it will anfwer with *eafe and certainty, experience alone muftdetermine : But, in the mean time, weare much indebted to the ingenious au-thor, for affording a hint which eventu- ally 44° Oj
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