All the anatomists had overlooked this physiological change in the
living body, brought about by disease. And the surgeons, since anatomy
could not help them, had been driven by the mortality of the "old
operation" to the practice of amputation.
4. _The Mercurial Manometer_
Hale's experiments on the blood-pressure were admirable in their time;
but neither he nor his successors could take into account all the
physiological and mathematical facts of the case. But a great advance
was made in 1828, when Poiseuille published his thesis, _Sur la Force
du Coeur Aortique_, with a description of the mercurial manometer.
Poiseuille had begun with the received idea that the blood-pressure in
the arteries would vary according to the distance from the heart, but
he found by experiment that this doctrine was wrong:--
"At my first experiments, wishing to make sure whether the
opinions, given _à priori_, were true, I observed to my great
astonishment that two tubes, applied at the same time to two
arteries at different distances from the heart, gave columns of
exactly the same height, and not, as I had expected, of
different heights. This made the work very much simpler,
because, to whatever artery I applied the instrument, I obtained
the same results that I should have got by placing it on the
ascending aorta itself."
He found also, by experiments, that the coagulation of the blood in
the tube could be prevented by filling one part of the tube with a
saturated solution of sodium carbonate. The tube, thus prepared, was
connected with the artery by a fine cannula, exactly fitting the
artery. With this instrument, Poiseuille was able to obtain results
far more accurate than those of Hales, and to observe the diverse
influences of the respiratory movements on the blood-pressure. He sums
up his results in these words:--
"I come to this irrevocable conclusion, that the force with
which a molecule of blood moves, whether in the carotid, or in
the aorta, etc., is exactly equal to the force which moves a
molecule in the smallest arterial branch; or, in other words,
that a molecule of blood moves with the same force over the
whole course of the arterial system--which, _à priori_, with all
the physiologists, I was far from thinking."
And he adds, in a footnote:--
"When I say that this force is the same over the whole course of
the arterial system, I do not mean to deny that it must needs be
modified at certain points of this system, which present a
special arrangement, such as the anastomosing arches of the
mesentery, the arterial circle of Willis, etc."
Later, in 1835, he published a very valuable memoir on the movement of
the blood in the capillaries under different conditions of heat, cold,
and atmospheric pressure.
5. _The Registration of the Blood-pressure_
Public-domain text, read in full here on John Shaqi.
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