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
=Removal of Blood from the Axillary Vein.=—The axillary vein is of
large size, and is formed by the junction of the venae comites or
deep brachial veins with the basilic. The axillary vein begins at the
lower part of the axillary space, increases in size as it ascends by
receiving tributaries corresponding in name with the branches of the
axillary artery and terminates immediately beneath the clavicle at the
outer margin of the first rib where it becomes the subclavian vein. To
remove blood from the axillary vein, raise the vein to the surface,
and insert the drainage tube. The Eckels-Genung steel drainage tube
will perhaps be the best tube to use. Insert the drain tube high up in
the arm pit, pass through the subclavian, to beyond the valve located
in the subclavian vein outside the point at which the internal jugular
vein unites with the subclavian to form the innominate. There being no
more valves the blood should pass out freely. If the blood does not
flow, raise the axillary artery, begin the injection of fluid which
will tend to cause a pressure through the capillaries on the venous
system pressing the blood back to the right auricle of the heart as
in life, and as there is no obstructed passage the blood should flow
freely from the tube. The vein tube is of metal having a plunger rod
within, and a Y attachment at the upper end. The blood runs from the
Y shaped attachment into a rubber tube which is connected with the
blood bottle. A flexible arterial tube should be used in the artery,
which will measure eight to ten inches in length and constructed with
a shut-off valve. The tube will reach the innominate artery close to
the arch of the aorta. With these arterial and drainage tubes the arms
can be folded and placed in position, with the hands over the abdomen
and the tubes will extend out over the upper border of the arm. This
method will enable the operator to inject the body and have the arms in
their natural position. If a short circuit through the internal mammary
vessels occurs, and this will be evidenced by the premature flow of
thin blood, close the vein tube now and then during the operation,
continuing the injection until the proper results are obtained.
=Removal of Blood from the Basilic Vein.=—To withdraw blood from
the basilic vein the left arm should be employed, because of a more
direct route to the right auricle. Make the incision in the middle
or the upper third of the arm. The basilic vein lies in the upper arm
and extends from the elbow to the shoulder, and can be found a short
distance from the brachial artery, either above or below, but generally
below and toward the body. Its position is not always the same, owing
to the many anomalies that might occur. As a rule the vein is quite
large and prominent and when secured, raise to the surface freeing it
from the surrounding tissues.
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