The illustrated horse doctor : $b being an accurate and detailed account of the various diseases to which the equine race are subjectedMayhew, Edward
Science
The illustrated horse doctor : $b being an accurate and detailed account of the various diseases to which the equine race are subjected
Mayhew, Edward
Horses -- Diseases
There is in this operation no danger of piercing the lung. The trocar must
be driven upward and onward, very far and very forcibly, to induce such an
effect. The lung is protected from all lawful violence by the water, on
the top of which it floats.
There is, however, a dispute concerning how much of the fluid should be
extracted. It is a good rule to take all you can get, or all the condition
of the horse will permit to be abstracted. Do not commence the operation
with any determinate quantity in your mind. Take all, if the horse will
suffer so much to be withdrawn but if the animal, after the loss of a
quart, shows signs of approaching faintness, withdraw the trocar, let the
skin fly back, and wait a more favorable opportunity for the next attempt.
In an hour or two the trial can be repeated. Make a new opening (for never
risk exciting irritation in the original wound, by again thrusting the
trocar through it.) There are but few precautions to be observed during
the performance of tapping the chest. It is usual to teach, that the
posterior border of the ribs is to be avoided, because this portion of the
bones is grooved for the reception of the artery. Anatomy, however, shows
that such vessels are amply protected by the grooves in which they travel.
There is also some selection to be made in the trocar which shall be
employed. If the tube be of too great a size and permits the fluid to gush
quickly out, nature may sink under the sudden change induced: the water,
consequently, ought to be very gradually abstracted. For this purpose, the
instrument cannot well be too small. The most diminutive of those made
for human practice will be quite large enough, so that the bulk of liquid
within the chest may be insensibly removed, and the horse be scarcely
aware of the change. Those trocars, however, which are made for the human
practitioner will not be long enough; therefore one must be procured
longer, but of the like bore.
Sometimes, after the trocar is properly inserted, no fluid will pour
forth: the operation is then all but hopeless. It must have been so long
delayed that various substances have been secreted. These cover the
interior of the chest. They obstruct the mouth of the cannula and prevent
the liquid issuing by the tube.
It is customary, in these cases, to employ a whalebone probe. This is
inserted up the trocar, and then moved about in different directions. The
intention is to break down the layer of pus or lymph lining the thorax,
and to allow the water to leave the cavity. But this is almost needless,
as the author does not recollect a single case of this description which
ultimately survived.
It is also advisable to draw off the fluid from both sides at the same
time, so there may be no pressure upon the delicate divisions of the
chest, and upon the important vessels within them. But happily the fluid
is, in the first instance, generally confined to one side only.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account