Excerpt from The Proceedings of the Medical Society of the County of Kings, 1883, Vol. 8
After the last operation with the aspirator, the patient was not at all benefited, but continued to grow worse until the 1sth of June, when his condition was so low that it was feared that he would not live twelve hours, and I proposed free incision and drainage-tube. This proposition was agreed to by the consulting physicians, and on the following day, having administered an anaesthetic, I made an Opening with the scalpel into the pleural cavity, immediately over the seventh rib, below the angle of the scapula.
A large quantity of offensive matter was discharged, and after cleansing the cavity by Injecting a solution of carbolic acid with a Davidson syringe, I introduced a quarter-inch rubber tube, keeping it in place by several silk threads attached and fastened to the back by adhesive plaster. Visiting the patient at night I found him none the worse for the operation.
The next morning his condition was greatly improved, he stated that he felt much encouraged, and that he had not passed such a comfortable night in three months. The pulse was reduced to 105.
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