The Worthington advance., 1882-10-12

poOp10 01Ss00 " V0c0 10 your 10o180t 0el0,
TRAKsFUslON OF BLOOD.
Details Of q Remarkable Cufo Ef.
fected by . French Physician.
From La Nature.
Among the various methods of trans
fusing blood that have been employed,
the most commendable appear to be those
of DIR. Ore of Bordeau and DR.. Roussel
ofGeneva. The process. of the latter has
recently occasioned remarkable cure,
which has attracted muchattention from
the medical world, and we are therefore
glad to make it known to our readers.
Facts, as We know, speak for themselves,
so we will give them in succinct man.
ner. Mrs. NJ, aged thirty-one years,
had had five living children and two mis-
carriages. In December, 1881, after six
months of CESSATION, she gave birth to
two Children; one Of them was still born
and the other lived for few hours only
The patient, in spite of all cares
gradually became feeble from week to
week. She was attended by her
physician, DR.. Chauvin, and by Drs.
Hrochin and Pean. On the 3lst of Jan
uary she went from bad to worse, and
on the LIST Of February there was little
hope for her. Anorexia, vomitinGs, in,
somnia, inertia; diarrhGa, anemic hectic
fever, cadaveIOus face and approaching
dissolution-such were her symptoms.
Drs. Pean and Brochin then suggested
TRANSMISSION as last resource. This was
performed by DR.. Roussel, who describes
the remarkable operation as follows:
'On the 5th Of February DR.. Brochin
came to the Grand Hotel to ask my con-
currence. found the patient inert,
scarcely conscious, without heat, without
respiration, as pale as Il corpse, veins in
visible, and pulse tilIiform at llO. The
heart and lungs appeared to me to be
healthy, and | consented to operate on
patient IS in the state above described; :;
to-day she has had diarrh,ea nineteen
times; her pulse is iiliform tremulous
and $50. The sister and husband of the
patient offer me tkc!rarlns; but, after an
elsewhere. There is made known to
me a business man ofthc street who en-
ploys many strong workmen. Mr.. Z. at
once comprehended the importance of
my request and causes his men to call,
and to them l explain that it is a Ques-
ton Of saving 4 mother Of family by
giving her little blood taken from the
arm Of one Of them by il single punc-
ture, which I affirm will be harmless.
Several consent. l select young man
ofabout thirty years Of age, healthy and
robust, named Adrien Renaud. We 60
up to the patients room, where are
present DIR. Brochin and Chauvin. and
the husband, sister and other REL
atives. The transfuscr is washed in warm
water to which has been added a little
soda. uncover the breast of the pa
tient, and stretch her arm along the
edge of the bed. / seat H. and place
his arm parallel with that of the patient,
and surround it with a bandage so
as to cause his veins to swell. After
having carefully sought and noted
with ink the course of the
humeral.artery at the bend Of the elbow,
mark 4 point Of ink at two centimeters
beyond the course Of the artery, on the
medium vein, which appears to be prom
inent and we'll swollen with blood. Rest
ing the initial cylinder of the transfuser
in such a way that it figures the circum-
stance of this central point, I cause the
annular cupping apparatus to adhere by
4 pressure on the bulb. Then turning to
tile patient, find that her veins are 80
bloodless as to be invisible. 1succeed in
discovering them by placing q baEdage
on her arm. l raise . fold of the skin
transverse to the medium vein, and, cut
ting it with the bistoury, find that the
vein is bl4eish and very narrow. 1prick
it with fine crime, and then, removing
Brochin the care of cutting small piece
from the vein with the point of q small
scissors and of introducing the camula
into the narrow vessel. A few
drops of very pale, thin. and
incoagclable blood run out. During
this time have dipped the bell of the
aspirating tube of the instrument into q
vessel of water heated to about forty de-
grees. By working the bulb. this water
fills the entire transfuser, heats it and
expels the air that it contains. 1t was
after all the air was expelled by the wa
ter that DR.. Brochin introduced the can
ula into the patients vein. The patient
is now in such a state of interia and an.
emic anHsthesia that she makes not even
the slightest movement, either during
the incision of the skin, or during the
preparation Of the vein. Our two SUBJ
jects are now united by an uninterrupted
channel full of water and free of air. A
sharp tap on the head of the lancet
opens Renaud's vein, and his blood soon
makes his appearance at the orifice of
the tubes, after having driven the water
before it. The water section
tube, as we'll as the expulsion tube, are
closed, and . 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 quantities of ten grammes each
time. At the tenth contraction of the
bulb the patient breathes more deeply
and quickly. When questioned, she an
swers that she feels no discomfort. Eut
experiences heat rising from her arm
into her breast. DR.. Brochin easily as
certains under his finger that the blood
is disterding the rubber tube and tho
vein each pressure; and, moreover, We
all perceive the vein becoming more ap-
parent and turcid as far as the m-pit.
mes, percciviny q resistance in the bulb
and slight agitation in the patient,
stop transfusing, after 10 grammes of
Renaud's blood have passed into the pa
tents veins.
'"Thc preparations for the operation
were somewhat prolonged by the abso
lutte lack OF comfort and room in the
apartment. II was difficult to light the
latter we'll, and DIR. Chauvin was good
enough to hold lamp 80 as to light al
ternately each subject. The operation
itself lasted five minutes,
"Renaud'sa arm was dressed with . sin
gle bandage, and he returned to his
work very much pleased with the serv-
ice that he had rendered.
February 8th.-Thc patient has slept,
although she has awakened several times.
During the day she has eaten six times.
She has spoken aloud, and has not felt
the least pain.
February 9th.-The patient has slept
we'll the entire night, and for the first
time in six months.
February 10th and 11th.-State of
convalescence assured.
February 18th and 13th.-Mme. NJ.
is sitting up, and is certainly cure1.
Hereafter she can dispense with my care'
Such is the intesesting case that we
have desired to make known. 1t now