Direct Transfusion of Blood to the Heart
Professor Achard, M. Cournaud and Mile. Pichot reported recently before the Academy of Medicine the case of a woman, aged 28, with typhoid, in whom the serodiagnosis did not become positive until the fifty-second day, during a relapse. Hemorrhages having intervened during the first attack, injections of artificial serum were given. Then, the condition becoming alarming, preparations were made for a blood transfusion. As the collapse of the veins prevented an intravenous injection and the patient was dying, 400 cc. of citrated blood was injected into the heart, at the third intercostal space, near the left margin of the sternum. The pulse became stronger and improvement was rapid. The injections of artificial serum were continued and the patient recovered. This mode of transfusion is exceptional and is indicated only in case of extreme urgency.
The Inferiority of Antipneumococcus Serum in Pneumonia