Daily globe., 1882-09-19
DIRECT TRANSMISSION OF BLOOD.
Details of "a Remarkable Care Effected by
French Physician.
To Na4r

h'CbstiiS VI ~ iIt Iltcleu DN
French Physician.
La Nature.
Among the various methods of transfus-
ing blood that have been employed the
DIR. Ore, of Bordeaux, and DR.. Roussel, of
Geneva. The process of the latter has re-
Gently occasioned a remarkable cure.
which has attracted much attention from
the medical world, and we are Glad to
make 1T known to our readers. Facts, as
we know, speak for themselves, so we will
give these in a!succinct manner. Mrs. NJ,
aged thirty-one years, had had five living
children and two miscarriages. In Decem-
bel, 1881, after six months of CESSATION. she
gave birth to two children n-one of them
was stlllborn, and the other lived a few
hours only. The patient, in spite of all
cares, gradually became feeble from week
to week. She was attended by her physi-
clan, DR.. Chauyin, and by Drs. ,Brochin and
Pean. On the 31st of January she went
from bad to worse; and on the 1st of Feb
ruary there was little hope for her, Ano-
reua, vomitings, insomnia, inertia, diar-
AS~5- esAASAAA3S AoShAC -f40fSI, C6QAVorOuS
face and approaching dissolution such
we're her symptoms. Drs. Pean and Bro
chin then suggested TRANSMISSION as last
resource. This was performed by DR..
Roussel, who describes the remarkable op-
Grafton as follows: ''On the 5th of Februa-
ry DR.. Brochin came to the Grand hotel to
ask my concurrence. I found the pa
tient inert, scarcely conscious, with
out heat, without respiration, as
pale as a corpse, veins invisible, and pulse
iliform at 14O. The heart and lungs ap-
peared to me to be healthy, and consent
ed to operate on February at 4 o'clock
pm. The patient is in the state above
described; to-day she has diarrna nine
teen times: her pulse is fliform, tremu-
lous, and $50. The sister and husband of
the patient offered me their arms; but,
after an examination, l prefer to make a
choice elsewhere. There is made known
to me business man of the street who
employs many strong workmen. Mr.. u.
at o1ce comprehends the Importance of my
request and causes his men to call, and to
them l explain that it is a question of saw
ing mother of a family by giving her a
little blood taken from the arm of one of
them by single puncture, which I affirm
will be harmless. Several
consent. select a young
man of about thirty years of age, healthy
and robust, named Adrien Remand. We 90
up to the patients room where are present
Drs. Brochin and Chauvin and the hus-
band, sister and other relatives. The trans
fuser is washed in warm water, to which
has been added a little soda. I uncover the
breast of the patient and stretch her arm
along the edge of the bed. I seat R., and
place his arm parallel with that of
the patient, and surround it with band
a &c, so as to cause his veins to swell. After
having carefully sought and noted with
bend of the elbow, mark point of ink
at two centimeters beyond the course of
the artery on the median vein, which ap-
pears to be prominent and well swollen
with blood. Resting the initial CYL
inder of the transfuser in such a
way that it figures the circum-
ference of this central point, cause the
annular cupping apparatus to adhere by
pressure on it's bulb. Then, turning to
the patient, l find that her veins are SO
bloodless as to be invisible. succeed in
discovering them by placing bandage on
her arm. I raise fold of the skin trans
verse to the median vein, and cutting it
with the bistoury, find that the vein is
blueish and very narrow. I prick it with
fine crime, and then. rem owing the band
age from the arm. confde to DR.. Brochin
the care of cutting a small piece from the
vein with tho point of fine scissors and
of introducing the camula into the narrow
vessel. A few drops of very pale, thin,
and incoagulable blood run out. During
this time have dipped the bell of the as
pirating tube of the instrument into YES
sci of water heated to about forty degrees.
By working the bulb this water fills
the entire transfer. heats it and
expels the air that it contains. It was
after all the air was expelled by the water
that DIR. Brochin introduced the canula
into the patients vein. The patient is
now in such a state of inertia and ane-
mic an9sthesia that she makes not even
the sligetest movement, either during the
incision of the skin or during the prep
aration of the vein. Our two subjects
are now united by an uninterrupted chan
mel full of water and free of air. A sharp
tap on the head of the lance opens Rem
aud's vein. and his blood soon makes its
appearance at the orifce of the tubes,
after having driven the water before it.
The water section tube as we'll as the
expulsion tube are closed, and a direct
current of blood is set up Slowly,
never removing my eyes from the
patient, press the pump bulb and force
the blood easily into the vein in quanti-
ties of ten grammes each time. At the
tenth contraction of the bulb the patient
breathes more deeply and quickly. When
questioned she answers that she feels no
discomfort, but experiences heat rising
from her arm into her breast. DIR.
Brochin easily ascertains under his finger
that the blood is distending the rubber
tube and the vein each pressure; and,
moreover, we all preceive the vein be-
coming more apparent and turgid as far
as the arm-pit. At the seventeenth in
lection of ten grammes, perceiving re-
sistance in the bulb and slight agitation
in the patient, l stop transfusing, after
ITO grammes of Renauds blood have
passed into the patients veins.
'The preparations for the operation
were somewhat prolonged by the absolute
lack of comfort and room in the apart
ment. It was difficult to light the latter
we'll, and DR.. Chauvin was good enough to
hold lamp so as to light alternatively
each subjec'. The operation itself lasted