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Related post: gation. Transfusion would be more successful if confined to
appropriate cases. So far the operation had not been over-
successful. Yet, notwithstanding this fact, it should not be
abandoned ; for, if even one case were successful, it should be
regarded as a triumph of science. There were circumstances
in which nothing short of transfusion would save the patient.
Dr. Lente then referred to a meeting of the Academy of
Medicine, held in January last, and reported in the Medical
Hecord of April 1, 1874, in which remarks of Prof. Fordyce
Barker on the subject are reported and reviewed at consider-
Among the auxiliary measures to be employed in trans-
fusion, are maintenance of the warmth of the surface of the
body ; pure air ; elevation of the feet in the bed ; bandages ;
digitalis ; the administration of Liebig's soluble beef-tea jper
rectum^ etc. In cases of extreme vomiting in pregnancy,
transfusion had been recommended.
284 PROCEEDINGS OF SOCIETIES.
Prof. FoRDYCE Barker said that if transfusion was a re-
source which could be made helpful, by which a certain num-
ber of lives could be saved which would terminate fatallv
under any other circumstances, it was very important that the
medical man should avail himself of it. Since his former re-
searches upon tlie subject, he had been able to add to the list
of recoveries after transfusion, so that the number now amount-
ed to about one hundred and twenty-five authentic cases.
jN'ow the question is, as to the effect of transfusion in assisting
recovery — whether the cases would have terminated fatally
if this measure had not been resorted to ? Those who advo-
cated transfusion were not bound to become partisans for it.
"While the fact is not ignored that there was efficacy in other
measures, yet transfusion might add an additional resource to
our list of restorative measures — one which might prove suc-
cessful when no other would.
The fact of failure in seventy-five per cent, of the cases
did not militate against the propriety of using the means in
the other twenty-five per cent. The question how transfusion
was effective in preserving life, he would leave for physiolo-
gists to answer.
Dr. J. C. Dalton discussed the question of the real value
of transfusion as a curative agent. In the case of an animal,
or patient, exhausted by haemorrhage — so far exhausted that
the pulse is imperceptible, intelligence very much diminished,
and all the symptoms present of impending death — blood had
been transfused, and the patient or animal had recovered.
The apparent connection of the recovery with the transfusion
was so direct, that he was led without question to conclude that
-transfusion was the cause of saving life. Dr. Dalton did not
think it strange that, when patients had lost large quantities
of blood, two or three ounces added would be sufficient to
save life. There was in the human system from fourteen to
eighteen pounds of blood. When one-fourth of the amount
had been lost, it seemed almost impossible that life should be
saved by the injection of so small a quantity. It did not strike
Dr. Dalton in that way. In explanation of his reason, he lik-
ened the human system to a machine, in which latter there
was a balance-wheel, the object of which was to carry the
PROCEEDINGS OF SOCIETIES. 285
piston over the " dead Buy Geriforte point ; " otherwise, if tliere be consid-
erable resistance, the enj^jine would stop. The injection of a
very small quantity of blood after hiBmorrha
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