Golden Rules of Surgery: Aphorisms, Observations And Reflections On the Science And Art of Surgery; Being a Guide for Surgeons And Those Who Would Become Surgeons

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119 stant removal by coughing is lessened. Whiskey- is preferable to opium if either is called for.
Never tap a chest in paracentesis without mak- ing certain by auscultation and percussion that you are on the right spot.
Always use an exhaustion syringe in tapping the chest. Never forget in this, as in all other as- pirations, to run some carbolic or hydrarg. perch- lor. solution through your cannula and exhaustion bottle before operating.
Do not forget your land-marks (upper border of lower r
...ibs).
Do not forget also that too forcible a suction applied to the vascular false membranes, which often occupy the pleural cavity, may give rise to haemorrhage into the pleura.
Always stop the aspiration if pain is complained of.
Do not neglect, in treating empyema, to secure your drain tube from slipping into the thorax. Let it be sufficiently, and only sufficiently long to enter the cavity. Longer is needless.
120 GOLDEN RULES OE SURGERY.
Never forget that irrigation in empyema is rarely necessary, and is often fraught with serious danger.


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