There are, however, those who consider that the use of whole blood,
instead of blood which has been chemically treated, has advantages
which outweigh the possible disadvantages mentioned above. Two
methods of using whole blood are, therefore, described first; the use
of anticoagulants is then described in detail, and their advantages
and possible dangers are enlarged upon.
=Whole Blood Transfusion with Syringes.=--It is obvious that, if
blood can be drawn from the donor’s vein into a glass syringe and
injected into the recipient so rapidly that clotting has no time to
occur, then a transfusion of any quantity of blood that may be wished
can be given by this simple means. The measure of the amount of
blood transfused is given by the number of syringes that have been
filled and emptied. This method has been successfully used by several
workers, and it has the advantage that no very special apparatus is
necessary. It does, however, require that several syringes, and more
than one assistant, should be available, since clotting will take
place in the syringes, unless they be frequently washed out. There is
also the possibility that clotting may take place in the needle which
is introduced into the donor’s vein, since this cannot be withdrawn
and replaced for each syringeful of blood that is transferred. With
practice, however, and with good assistants, the process can be done
quickly enough to avoid this. Wide-bore needles with short rubber
connexions are introduced into the veins of donor and recipient;
if, as often happens, this is difficult to do through the skin in
the case of the recipient, his vein must first be exposed through
an incision and a glass or metal cannula introduced into it. The
operator then fills the syringes with blood in quick succession and
hands them to his first assistant, who injects the blood into the
recipient. Blood is prevented from escaping from the needles when
the syringes are disconnected by nipping the rubber connexions with
the fingers. The first assistant passes the empty syringes to the
second assistant, who washes them out with normal saline, and hands
them back if needed to the operator. This can be done with six 20 cc.
syringes used in rotation, possibly with only four.
Public-domain text, read in full here on John Shaqi.
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