Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this SubjectNunnamaker, Albert John
Science
Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this Subject
Nunnamaker, Albert John
Embalming
Inject a few ounces of fluid toward the hand as the axillary is above
the point of collateral circulation. Then reverse the tube and inject
toward the heart, until a sufficient amount of fluid has been injected.
_Relation of Artery, Vein and Nerve._—The vein is quite superficial,
just below it and to the upper part of the incision is the brachial
plexus of nerves, which surrounds the artery.
=How to Locate, Raise, and Inject the Brachial Artery.=—The brachial
artery is located in the upper arm and extends from the inferior margin
of the muscle pectoralis major, or from the shoulder to the elbow. It
is one of the most popular arteries known to the embalmer, and is now
used, perhaps, more than all others combined.
The anatomy of this vessel is simple, yet, when we take into
consideration all the numerous anomalies or irregularities that
surround its use to us as embalmers, we feel the necessity of making
the description very thorough and complete, in order to raise it under
all the various difficulties that attend its use.
The brachial artery has its several branches, the most prominent of
which are the artery profunda brachii (superior profunda artery) and
the artery collateralis ulnaris superior (inferior profunda artery) and
the artery collateralis inferior (anastomotica magna artery).
For the sake of a more correct description we divide the artery into
thirds, viz: the upper, middle and lower thirds. The upper third begins
at the extreme upper part of the arm and extends one third of the way
to the elbow, the middle and lower thirds occupy the remainder of the
artery. In the upper third we have the superior and inferior profunda
arteries coming off; their position is not always the same, and in
the extreme lower third the anastomotica magna artery. These arteries
continue down the outer and inner arm and anastomose with the recurrent
radial and ulnar arteries, thus furnishing collateral circulation. Thus
if the fluid is injected in the middle third, toward the heart, these
branches that come off the brachial in the upper third will convey the
fluid down the arm, filling the branches below the point of injection,
which supply the forearm and the hand.
[Illustration: FIG. 48—The brachial artery. (Gray)]
The brachial artery is one continuous vessel, the entire length of
the upper arm, and varies in size according to the size of the person
and the development of the arm. It is accompanied by the venae comites
or deep brachial veins, the one to the inner side of the artery about
one-third to one-half the size of the artery, the other about one-half
its size lies directly underneath. All are encased in the same common
sheath of deep fascia that surrounds and holds them together. Great
care, then, should be taken to separate the artery from these veins
before cutting the artery for injection.
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