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
The basilic or axillary vein may be used to remove blood from the heart
instead of the femoral. These veins should be used on the left side
of the body owing to the fact that the angle at the junction of the
subclavian and internal jugular veins is not so acute as on the right
side.
=Removal of Blood by the Use of the Femoral Vein.=—The use of the
femoral vein is considered by some operators a very good method. The
femoral should be employed in the upper third. Make the incision in
the center of Scarpa's triangle, just below Poupart's ligament. The
incision should be about two inches in length, the length of the
incision usually depends upon the size and thickness of the thigh and
the depth of the vein in the tissue. Expose the artery and the vein.
The vein at this point will lie to the inside of and a little below
the femoral artery. Open the artery and inject about a pint of fluid to
cause a pressure on the venous system.
Have all the blood drainage outfit in readiness then open the vein
and quickly insert the drainage tube. Any of the drainage tubes now
commonly sold on the market are good. For the femoral, though, the
flexible rubber drainage tube seems to be the best, because the femoral
vein dips deep down into the posterior part of the abdomen after
it leaves the Poupart's ligament. The flexible rubber drainage tube
will follow this bend and can be pushed as far as is desired by the
operator, in contrast the steel drainage tube could only be pushed into
the vein for a few inches.
Blood ought to drain out into the blood bottle, if it does not, inject
a little more fluid to cause more pressure on the venous system, and if
it will not flow by the drainage method or any of its modifications try
the aspirator. If blood still will not flow, it may mean that there is
a clot ahead of the drainage tube. Pump some fluid through the drainage
tube into the vein, to see if the tube is open, then let the fluid
drain out which usually will bring some blood. After you have tried all
the methods, if blood still does not flow, it will indicate that the
blood is either in a coagulated condition, or there is not very much
blood in that particular vein, which in this case is the femoral. The
blood may be more in the dependent parts of the body.
Public-domain text, read in full here on John Shaqi.
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