Surgical experiences : the substance of clinical lectures. / By Samuel Solly.
- Samuel Solly
- Date:
- 1865
Licence: Public Domain Mark
Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.
Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.
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![G08 ]ia3morrliage from the wound, and that I wished to avoid a ligature. I therefore got the dresser to sit with his finger on the facial artery. By that pressure the lisemorrhage was entirely restrained. I think that pressure was only kept up for half an hour, or an hour at the outside. One of the gentlemen kept watch over the patient the whole night, and he was not left for twenty-four hours after the operation. I ordered him, after the operation, forty minims of the tincture of opium, and twenty minims more if necessary. I generally prefer the tincture to any other preparation, because it is more certain in its operation. After giving him the first dose, the dresser waited an hour, and as his patient was still in an excited state he gave him the second. Bear that in mind, for if the patient were in an excited state after the removal of the ball, and his fears to a certain degree allayed, what would have been his state if the bullet had remained in his jaw like a piece of burning coal? After the second dose of opium he fell asleep, and though he did not sleep much during the night, still he was not restless, and in the morning was tolerably comfortable. I will now continue the report of the case in the dresser’s words. On the 15th, at 9 A.M., two ounces of compound senna mixture were given by Mr. Solly; and at 4 p.m., as the bowels had not been relieved, one, scruple of compound jalap powder immediately; also a poultice to the face ; a quarter of a grain of morphine if restless. Now my reason for ordering morphine instead of opium was, that I wished to get his bowels opened, which I feared would not be accomplished if he had the laudanum; though an opiate might give him sleep, still it would be prejudicial, and he would be feverish if his bowels remained unrelieved, therefore I preferred the morphine on this occasion, which was less likely to interfere with the aperient medicine. 16th.—Slept well with the morphine; wound looks healthy; some- what feverish; bowels not opened. Ordered, four ounces of the compound senna infusion immediately ; effervescing mixture every](https://iiif.wellcomecollection.org/image/b21309401_0624.jp2/full/800%2C/0/default.jpg)
