Volume 1

Napheys' Modern therapeutics, medical and surgical : including the diseases of women and children a compendium of recent formulae and therapeutical directions from the practice of eminent contemporary physicians, American and foreign / [edited by Allen J. Smith and J. Aubrey Davis].

  • Napheys, George H. (George Henry), 1842-1876
Date:
1892-1893
Catalogue details

Licence: Public Domain Mark

Credit: Napheys' Modern therapeutics, medical and surgical : including the diseases of women and children a compendium of recent formulae and therapeutical directions from the practice of eminent contemporary physicians, American and foreign / [edited by Allen J. Smith and J. Aubrey Davis]. Source: Wellcome Collection.

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    may be employed with advantage, followed by the administration ofj the syrup of the iodide of iron and cud-liver oil. DR. HUGH P. DUNN, OF ENGLAND. In the Lancet, 1882, Dr. Hugh P. DUNN recommends paracente- sis in cases of hydrocephalus, believing that when the operation is] properly performed it is not dangerous, but on the contrary is pro-] ductive of much good. A small aspirator, of about half an ounce! capacity, furnished with a double-cOck arrangement, is the instru- ment he uses. The child being held on the nurse's lap, with its head facing the light, the operator marks a point in the situation of the coronal suture, about an inch from the longitudinal sinus, and hold- ing the needle firmly in his right hand, thrusts it into the cranium with its point slightly inclined inward. It is a good plan to first thoroughly cleanse the needle in a solution of carbolic acid. The needle having entered the cranium, the surgeon grasps it close to tha scalp by the forefinger and thumb of the left hand and steadies tha head with the right, and the assistant manipulates the piston of tha aspirator. The piston should be slowly withdrawn, and pauses of a few seconds now and again allowed to elapse, in a manner similar to the application of the ecraseur. The position of the needle may be altered from taime to time, according as the tension on the piston shows that the fluid has diminished. After about half an ounce of fluid has been abstracted, compression of the cranium should be se- cured. The best way to secure this is to use a piece of India-rubber tubing, corresponding in diameter to a quarter-inch gas pipe. The tube, around which some lint may be wrapped or sewed, should be made to encircle the cranium twice, at a level with the occipital pro- tuberance behind and the centre of the forehead in front. As the fluid is gradually withdrawn, the tube is, from time to time, read- justed and tightened. When the operation is completed, the punc- tured spot is covered with a piece of dry lint, and attention directed to compression of the cranium, which can be accomplished by fixing the tube in situ, or a capeline bandage of flannel carefully applied. PROFESSOR S. D. GROSS, OF PHILADELPHIA. This late distinguished authority {Medical and Surgical Reporter, 1881,) considers that very little can be done for the relief of this condition. The late Dr. CONQUEST, of England, published a scries of cases, in all about fifteen or eighteen, where a cure followed the