Show OF BLOOD details of or a care ef faceted ly by a french physician among the various methods transfusing blood that have been employed the most commendable appear to be those of dr ore I bordeaux and dr roussel of geneva neva the process of the latter has recently occasioned a remarkable cure which lias has attracted much a attention t 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 we will give them in a succinct manner airs mrs 31 aged 31 years had had five living children and two dic discar biages in december 1881 after eix 11 months of gestation she gave a v re birth to two children childr en one of t them E em was ws stillborn still born and the other lived for a few hours only the patient pati tnt in spite of all care gradually became feeble from week to week she was attended by her physician dr chauvin and by drs brochin and nd peau on the alst of january she went from bad to worse and on the 1st ast of february there was little hope for her anorexia vomit vomiting insomnia inertia diarrhea anemic hectic fever cadaverous face and approaching ds dissolution solution su such ch were hir hur symptoms drs peau and brochin then suggested transfusion as a last resource this was performed by dr roussel who describes the remarkable operation as follows on tho the ath of february dr brochin came to the grand hotel to ask my concurrence I boand the patient inert scarcely conscious without heat without respiration as pale as a corpse veins in ih visible and pulse at the heart and lungs ap appeared eared to me to be healthy and I consented to td operate on february jtb at p ro in the patient is in the state above de crib fd d today to day she has had diarrhea diarrhoea nineteen times her pulse is tremulous and the sister and husband of the patient coffier me their arms but after an examination I prefer prefer to make a choice elsewhere there is made known to me a bus business man of the street who employs in toy many strong workmen M mr r Z at once comprehends the importance of f my request and causes caum his men to call and to them I explain that it is a i question of savin saving a mot mother her of a amily family by giving her a little blood aken take i from the arm of one of them b wl I m U puncture wilt IT I be harmless arm lets several everal cousen consent t I select a blung man of about twenty years of ace aze healthy and robust named adrien renaud we go up to the patients room where we present ent dr brochin and chauvin and the husband sister and other relatives the transfer is washed in n warm water to which has been added a little soda I uncover the breast of the patient and stretch h her er arm along the edge of the bed I seat R and place his arm parallel with that of the patient and surround it with a bandage so as to manse cause his veins toe to swell well after having carefully sought and noted with lot in ink the course of the humeral artery at the bend of the elbow I mark a point of ink at two centimeters beyond the course of the artery on the median vein which appears to be prominent and well sw swollen of dilwith nil with with blood Res resting tins the initial cylinder of the trana fuser in such a way wity that it figures the circumstance of this central point I cause the annular cupping apparatus to adhere by a pressure on its bulb then turning to the patient I find that her veins are BO so blood bloodless lem as to be invisible I succeed in discovering them by placing a bandage on her arm I raise a fold of the skin transverse to the median ve veiland vein and cutting it with the bist bistoury wiry find that the vein is blumish and very narrow I prick it with a fine crine and then removing the bandage from the arm confide to dr brochin the care of cutting a small piece from the vein with the point of a fine scissors and of introducing the cabula into the narrow vessel Afew A few drops of very pale thin and blood run out during this time I have dipped the bell of the aspirating tube of the instrument into a vessel of water heated to about forty degrees by working the bulb this water fills the entire heats beats it and expels the air that it contains it was after all the air air was expelled byrbe by the water that dr brochin introduced the cabula into the Pa patients vein the patient is now in such a state of inertia and anemic anesthesia that she makes not even the slightest movement either during the incision of the skin or during the preparation of the vein our two subjects are now united byan by an uninterrupted channel full of water and free of air A sharp tap on the head of the lancet opens renauds Rena vein and bis his blood soon makes its appearance at the orifice of the tubes after havin having driven the water before it TI the e water section tube aa as well as the expulsion tube are closed and a direct current of blood is set up slowly never removing my eyes from the patient I press the pump I bulb and force the blood easily into the vein in quantities often grammes each time at the tenth coo con traction of the bulb the patient breathes more deeply and quickly when questioned she answers answers she feels no discomfort but experiences perien ces a heat rising from arm into her breast L dr brochin easily ascertains under his fing er that the blood is disten dis tending the rubber dint tube and the vein becoming more apparent and turgid as far as the armpit arm pit at the seventeenth injection n often of ten grammes perce perceive ivi ing a resistance in the bulb and a ight agitation in the patient I stop transfusing after grammes of Rena blood had bad passed into the patients veins the preparations for the operation were somewhat ome what prolonged by the absolute lack of comfort and room in in thi th apartment it was dim cult to I the latter well and dr chauvin was good enough to hold a lamp so as to tight light alternately each subject s the operation itself itsel lasted flasted five Mil minutes lUteS renauds Rena arm was dressed with a eig eingle ae bandage and he lie returned to t his work very veli much pleased with i the service he had rendered february ath the patient patent has slept although she was awakened several everal times during the day she has eaten six times she has spoken aloud and has not felt mt the least pain february fth the patient has slept well the entire night and for the first time in six months february and alth state of convalescence assured 64 february and mme ame 31 is sitting up and is certainly cured hereafter she can dispense with my care such is the interesting case that we have desired to make known it now remains to eay say a few words in regard to the instrument employed b badr tar sel hia his luser the apparatus consists of a soft elastic warm and moist tube after the style at le of tho the blood vessels designed signey to be placed between the vein that yields the blood and that tha which receives it the tube carries a suction and force pump which gives impulsion to the venous blood while measuring the quantity and velocity velo fity of the same two bifurcations one at the begin beginning nin g and the other att at the heend end allow of tho the entrance and exit of ofa a current of warm water sa so as to drive out the internal air and heat the instrument without the water itself being forced into the patients r T |