Show NEW METHOD OF DIRECT BLOOD I TRANSFUSION LONDON Sept 29 Three Three surgeons surgeons surgeons sur sur- geons writing in the Lancet describe describe de describe de- de scribe a a. new and simple method for forthe forthe forthe the direct transfusion of blood and relate the tho conditions in which the procedure Is Sa likely to prove of value Andrew Fullerton Georges Dreyer Drey- Drey er and H II C. C Bazett describe a a. simplified simplified sim aim method for the direct transfusion transfusion transfusion trans trans- fusion of blood from donor to re recipIent recipient recipient re- re with the minimum opportunity opportunity opportunity for changes to take tako place and the most simple apparatus It consists in connecting the radial artery an artery in il the wrist of the donor with a suitable vein of the recipient by means of a a. small transparent thin walled rubber tube and two small silver sUver can- can aI The tube and are connected connected connected con con- up and coated ins inside de and out with a a. mixture of equal parts of soft and hard paraffin at a temperature temperature temperature tem tem- of ot degrees centigrade The amount of blood passed Is determined determined de determined de- de by the appearance of sj symptoms of blood loss in tho the donor and of improvement In the re re- re The authors have not found It it necessary to make preliminary tests of f the compatibility of the bloods since such tests are ae not very trustworthy and the occur occur- occurrence occurrence rence of ot serious accidents from in incompatibility incompatibility incompatibility in- in compatibility Is very Infrequent The Indications for transfusion are severe secondary anaemia hemoglobin below helow 40 per cent In Incases Incases incases cases with sepsis blood poisoning to aid in the recovery and Introduce Introduce introduce Intro Intro- duce normal protective substances and In some somo cases prior to operations opera opera- Where there is severe secondary anaemia In the presence of severe sepsis the latter dominating the clinical picture transfusion is not likely to be of any value at least immediately although In some cases It has seemed to turn the tide in favor of ot final recovery from both conditions |