The Treatment of Pleurisy and Empyema

The Treatment of Pleurisy and Empyema

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 edition. Excerpt: ...cannula with a firm plunge. If a large needle is to be used, a preliminary incision through the skin with a sharp bistoury is advisable, but in ordinary simple (sero-fibrinous) effusions, where the needle should be small, a preliminary incision is, I think, unnecessary. The trocar should at first be directed directly inwards, and after the pleural sac is entered slightly downwards and inwards. After the trocar and cannula are introduced, the tubing connected with the aspirator or syphon must be attached; the trocar withdrawn; and the stop-cock (No. 1) which shuts off all communication between the cannula and the external atmosphere closed. (7.) Gradually open the stop-cock (No. 2) which shuts off the connection between the cannula and the bottle of the aspirator, the air in the bottle having been previously exhausted. (8.) Withdraw the fluid very slowly, and take care that no powerful suction action is exerted upon the intra-thoracic contents. (9.) Unless there is some special reason to the contrary, withdraw only a small quantity of the effused fluid (20, 30, or 40 ounces). (10.) If fluid fails to flow when the full suction influence of the exhausted bottle is brought to bear, the position of the cannula should be altered (since the point of the instrument may be buried in an adhesion and have failed to reach the fluid.) If after such manipulation, fluid still fails to flow, the aspirator should be disconnected and the cannula withdrawn. (11.) If the cannula is found to be pervious, and the physician feels sure of his diagnosis, the instrument should again be introduced at some other, but adjacent, part of the chest. If there is any reason to suppose that the fluid is too thick to flow through the cannula which was first used, a larger...show more

Product details

  • Paperback | 28 pages
  • 189 x 246 x 2mm | 68g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236960335
  • 9781236960337