The operating room and the patient; a manual of pre- and post-operative treatment . ing Empyema of the opposite side rarely occurs. Itis best treated by repeated aspiration with injection of 10 percent, formalin glycerin solution until the expansion of the lungon the operated side is sufficient to permit of drainage ofthe complicating empyema. Whenever possible the operationshould be done, and the patient kept, under negative pressure. OPERATIONS UPON THE THORAX 437 Lung Gymnastics.—The patient is to be gotten out of bed andin the open air as soon as he is able to move about and calisthenicexe
The operating room and the patient; a manual of pre- and post-operative treatment . ing Empyema of the opposite side rarely occurs. Itis best treated by repeated aspiration with injection of 10 percent, formalin glycerin solution until the expansion of the lungon the operated side is sufficient to permit of drainage ofthe complicating empyema. Whenever possible the operationshould be done, and the patient kept, under negative pressure. OPERATIONS UPON THE THORAX 437 Lung Gymnastics.—The patient is to be gotten out of bed andin the open air as soon as he is able to move about and calisthenicexercises calculated to expand the chest enforced. He is in-structed in the use of water bottles in order to expand the lungas quickly as possible. Their use may be begun on the secondday. The longer expansion of the lung is neglected themore difficult it will become, as the adhesions will become moredense. Expansion of the lung and free drainage is facilitated bythe use of a vacuum cup applied to the sinus or Bryant^s^ methodof aspiration combined ivith drainage may be Fig. 192.—Bryants aspiration and drainage apparatus, a. Hollowrubber cushion (the author now uses wet rubber tissue as the cushion wasnot satisfactory in all cases); b, rubber bag; c, stop-cock; d, glass observation-tube; €, drainage tube. This method combines aspiration for the purpose of expansionof the lung and drainage by means of a special apparatus (). The drainage tube is placed into the cavity for the properdistance and the cushion is placed in contact with the wall of thethorax in such a manner as to cover the area surrounding theopening into the pleural cavity. The nozzle of an ordinary syringe is then inserted into the distal end of the appara-tus, the cavity emptied of all liquid, and sufficient air exhausted 1 Operative Surgery, Bryant, 1901, vol. ii, p. 1026. 438 OPERATIXG EOOM AXD THE PATIEXT to cause the rubber cushion to fit closely enough to the chest wallto pre
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