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OBSTETRICAL SOCIETY OF LONDON. WEDNESDAY, JUNE 1ST, 1864.
121
Medical
Societies.
plying the bleod was often, in obstetric practice, the husband of the patient.; and, unless under very exceptional circnm-
and fortitude of the individual in question to break down as to interfere with the OBSTETRICAL SOCIETY OF LONDON. carrying on of the operation. For these reasons, therefore, he believed that, however ingeniously contrived, the " immediate" WEDNESDAY, JUNE 1ST, 1864. method could not become a practical operation. The instrtiDR. OLDHAM, PRESIDENT. ment he (Dr. Graily Hewitt) had employed-constructed for by Messrs. Wliicker and Blaise-was a two ounce glass fitted at one end with a piston and rod, and at the cylinder, THE following gentlemen were elected Fellows of the other adapted to the tube entering the vein of the patient. Waller Dr. A. Balls; Society:—Dr. Wahltuch, Manchester; The blood was received into the syringe itself, the piston being and Dr. W. B. Woodman, London Hospital. removed for this purpose, and the blood was then injected. Dr. HALL DAVIS showed a Craniotomy Forceps, whose blade The peculiarity of the instrument was that the blood was refenestrated, of the form of a very elongated horse shoe. It ceived directly into the syringe, without the necessity for a was composed of two parts, male and female; the former funnel or other apparatus; and the exposure of the blood to serrated deeply, the serrations pointing backwards, and fitting the air and to foreign objects—which hastened coagulationinto the depression in the female part. The lock like Naegele’s, was thus reduced to a minimum. The operation of transfusion and the handles fastening by a spring and rack at their ex- required forethought and arrangement, and accurate appreciatremities. This instrument he had tested practically, and tion of the difficulties surrounding its performance. These difficulties he had endeavoured to point out and to obviate, in found it answered admirably. Dr. MEADOWS exhibited a Bandage, which he recommended the paper to which he had already alluded. Dr. EASTLAKE was able to confirm Dr. Graily Hewitt’a in place of the jack-towel usually applied afler labour. It was as to the applicability and value of this instrument, statement to the abdomen and made of stout calico, shaped hips, having assisted Dr. Hewitt at the operation in question. It having one bone for extra support in front. W hen adjusted, it could be fastened firmly either by bracket or laced like a corset. The would have been impossible in this case to have brought the who supplied the blood, to the bed-side. His advantages being, facility of application, combined with comfort husband, nervousness and agitation under such circumstances would and greater efficiency. the performance of the operation. Drs. Routh, Oldham, Rogers, Graily Hewitt, and Meadow, probably have prevented he should be able some day to BRAXTON HICKS Dr. hoped discussed some points connected with bandaging after labour. bring before the Society a plan which he had employed with success in the lower animals, and also in a case of hæmorrhage ON IMMEDIATE TRANSFUSION. in a lady. The principle of its action was to prevent fibrillaBY DR. AVELING, SHEFFIELD. tion, thereby doing away with the greatest difficulty attending The author stated that transfusion had been performed now the operation. for two hundred years, and that for the first hundred and sixty Dr. AvELiNG, in reply, would remind the Society that the years of that time the immediate method had been solely em- operation of transfusion had been successfully performed by the ployed. He described the numerous forms of immediate appa- simplest means-such a-; quills; and he differed from Dr. Graily ratus hitherto used, and pointed out their faults and advan- Hewitt in his estimate of the difficulties of the operation. tages. He al-;o exhibited an instrument of his own, which Dr. GREENHALGH read a paper on Placenta Prsevia, the difsconsists of two small silver tubes to enter the recipient and’ cussion upon which was adjourned till next meeting. emittent vessels, and of an india-rubber tube to connect them. An abstract this paper will appear in the of the This has in its centre a small elastic receptacle holding about next meeting. two drachms, by compressing and relaxing which the blood is made to circulate through the tube, and the quantity passing is measured. He believed that there was less chance of coagulation by the immediate method, and that it had advantages! over the mediate mode. The blood was not exposed to the air;, the operation was uninterrupted and the closest imitation of’ nature. and Narcotics, their Mutual Relations ; with Dr. CLEVELAND thought there would be danger of introducing: Special Researches on the Action of Alcohol, Ether, and air in the apparatus shown by Dr. Aveling, which was not Cliloroform on the Vital Organism. By FRANCIS E. transparent. ANSTIN, M.D., M.R.C.P., Assist.-Physician to the WestDr. GRAi,Y HEWITT said the subject brought before the minster Hospital, and Lecturer on Materia Medica and Society by Dr. Aveling was one of great importance, and one Therapeutics to the School. pp. 489. London: Macmillan moreover in which he was individually much interested. In and Co. the course of last year he (Dr. Graily Hewitt) had brought the IT is the author’s misfortune, but by no means his fault, that subject of transfusion before the profession in a paper read at the annual meeting of the British Medical Association held at the title of this work gives but a very imperfect idea of the Bristol, and he had exhibited at that meeting the apparatus nature of its contents. The publication of the excellent Table for the performance of transfusion which he now begged to lay of Contents at its commencement would be the only means of before the Obstetrical Society. He would remark that the the philosophical plan upon which the book fairly representing great desideratum in an apparatus for transfusion adapted for is arranged, and the large amount of research of which it is use in obstetric emergencies was a simple, certain, and ready the result. It is quite impossible for us, in the limits at our The which he had instrument means of conveying the blood. contrived fultilled, he believed, these indications; and he had disposal, to do more than give a faint outline of the nature of had an opportunity of using this instrument only a short time his inquiry, and the mode in which it is conducted. This is since in the case of a poor woman dying from loss of blood con- the less to be regretted, as, from the great importance of the nected with placenta proavia. The instrument acted admirably, and by its means he was enabled to transfuse two successive subject of which it treats, the book is certain to be read, and portions of blood. The operation was unfortunately delayed, read with the greatest interest, by everyone anxious for inas it proved, a little too long, and the patient f.iled to derive formation which has a thoroughly practical bearing upon the benefit from the operation ; but the experience afforded by the treatment of disease. case was such as to justify him in expecting the best possible The elements of the problem which Dr. Anstie seeks to solve results from its use in similar emergencies. The apparatus devised by Dr. Aveling, which in principle, he believed, re- are simply these. There are two classes of physiological agents, sembled one that had been recommended by Dr. Richard- respectively known as stimulants and narcotics; and there is son, was, he considered, objectionable for a variety of reasons. also an intermediate class known as narcotic-stimulants. All The want of transparency prevented the observer ascertaining three classes act upon the nervous system: the stimulants What was going on in the tube; it was not easy to connect, the power of exciting its action, the sedatives of de: having off-hand, the tube with the vein of the individual supplying the blood ; and. further, it would be found very objectionable pressing the same, and the narcotic stimulants of producing to bring the individual supplying the blood into close proximity both kinds of effects. The author’s aim, in general terms, ia with the individual dying from loss of blood. The person sup- to discover what effects may fairly be included under the term
stances, the would be
nerve
likely
so
him
of
Rebiews
Stimulants
report
and
Notices of Books.
Medical
Societies.
plying the bleod was often, in obstetric practice, the husband of the patient.; and, unless under very exceptional circnm-
and fortitude of the individual in question to break down as to interfere with the OBSTETRICAL SOCIETY OF LONDON. carrying on of the operation. For these reasons, therefore, he believed that, however ingeniously contrived, the " immediate" WEDNESDAY, JUNE 1ST, 1864. method could not become a practical operation. The instrtiDR. OLDHAM, PRESIDENT. ment he (Dr. Graily Hewitt) had employed-constructed for by Messrs. Wliicker and Blaise-was a two ounce glass fitted at one end with a piston and rod, and at the cylinder, THE following gentlemen were elected Fellows of the other adapted to the tube entering the vein of the patient. Waller Dr. A. Balls; Society:—Dr. Wahltuch, Manchester; The blood was received into the syringe itself, the piston being and Dr. W. B. Woodman, London Hospital. removed for this purpose, and the blood was then injected. Dr. HALL DAVIS showed a Craniotomy Forceps, whose blade The peculiarity of the instrument was that the blood was refenestrated, of the form of a very elongated horse shoe. It ceived directly into the syringe, without the necessity for a was composed of two parts, male and female; the former funnel or other apparatus; and the exposure of the blood to serrated deeply, the serrations pointing backwards, and fitting the air and to foreign objects—which hastened coagulationinto the depression in the female part. The lock like Naegele’s, was thus reduced to a minimum. The operation of transfusion and the handles fastening by a spring and rack at their ex- required forethought and arrangement, and accurate appreciatremities. This instrument he had tested practically, and tion of the difficulties surrounding its performance. These difficulties he had endeavoured to point out and to obviate, in found it answered admirably. Dr. MEADOWS exhibited a Bandage, which he recommended the paper to which he had already alluded. Dr. EASTLAKE was able to confirm Dr. Graily Hewitt’a in place of the jack-towel usually applied afler labour. It was as to the applicability and value of this instrument, statement to the abdomen and made of stout calico, shaped hips, having assisted Dr. Hewitt at the operation in question. It having one bone for extra support in front. W hen adjusted, it could be fastened firmly either by bracket or laced like a corset. The would have been impossible in this case to have brought the who supplied the blood, to the bed-side. His advantages being, facility of application, combined with comfort husband, nervousness and agitation under such circumstances would and greater efficiency. the performance of the operation. Drs. Routh, Oldham, Rogers, Graily Hewitt, and Meadow, probably have prevented he should be able some day to BRAXTON HICKS Dr. hoped discussed some points connected with bandaging after labour. bring before the Society a plan which he had employed with success in the lower animals, and also in a case of hæmorrhage ON IMMEDIATE TRANSFUSION. in a lady. The principle of its action was to prevent fibrillaBY DR. AVELING, SHEFFIELD. tion, thereby doing away with the greatest difficulty attending The author stated that transfusion had been performed now the operation. for two hundred years, and that for the first hundred and sixty Dr. AvELiNG, in reply, would remind the Society that the years of that time the immediate method had been solely em- operation of transfusion had been successfully performed by the ployed. He described the numerous forms of immediate appa- simplest means-such a-; quills; and he differed from Dr. Graily ratus hitherto used, and pointed out their faults and advan- Hewitt in his estimate of the difficulties of the operation. tages. He al-;o exhibited an instrument of his own, which Dr. GREENHALGH read a paper on Placenta Prsevia, the difsconsists of two small silver tubes to enter the recipient and’ cussion upon which was adjourned till next meeting. emittent vessels, and of an india-rubber tube to connect them. An abstract this paper will appear in the of the This has in its centre a small elastic receptacle holding about next meeting. two drachms, by compressing and relaxing which the blood is made to circulate through the tube, and the quantity passing is measured. He believed that there was less chance of coagulation by the immediate method, and that it had advantages! over the mediate mode. The blood was not exposed to the air;, the operation was uninterrupted and the closest imitation of’ nature. and Narcotics, their Mutual Relations ; with Dr. CLEVELAND thought there would be danger of introducing: Special Researches on the Action of Alcohol, Ether, and air in the apparatus shown by Dr. Aveling, which was not Cliloroform on the Vital Organism. By FRANCIS E. transparent. ANSTIN, M.D., M.R.C.P., Assist.-Physician to the WestDr. GRAi,Y HEWITT said the subject brought before the minster Hospital, and Lecturer on Materia Medica and Society by Dr. Aveling was one of great importance, and one Therapeutics to the School. pp. 489. London: Macmillan moreover in which he was individually much interested. In and Co. the course of last year he (Dr. Graily Hewitt) had brought the IT is the author’s misfortune, but by no means his fault, that subject of transfusion before the profession in a paper read at the annual meeting of the British Medical Association held at the title of this work gives but a very imperfect idea of the Bristol, and he had exhibited at that meeting the apparatus nature of its contents. The publication of the excellent Table for the performance of transfusion which he now begged to lay of Contents at its commencement would be the only means of before the Obstetrical Society. He would remark that the the philosophical plan upon which the book fairly representing great desideratum in an apparatus for transfusion adapted for is arranged, and the large amount of research of which it is use in obstetric emergencies was a simple, certain, and ready the result. It is quite impossible for us, in the limits at our The which he had instrument means of conveying the blood. contrived fultilled, he believed, these indications; and he had disposal, to do more than give a faint outline of the nature of had an opportunity of using this instrument only a short time his inquiry, and the mode in which it is conducted. This is since in the case of a poor woman dying from loss of blood con- the less to be regretted, as, from the great importance of the nected with placenta proavia. The instrument acted admirably, and by its means he was enabled to transfuse two successive subject of which it treats, the book is certain to be read, and portions of blood. The operation was unfortunately delayed, read with the greatest interest, by everyone anxious for inas it proved, a little too long, and the patient f.iled to derive formation which has a thoroughly practical bearing upon the benefit from the operation ; but the experience afforded by the treatment of disease. case was such as to justify him in expecting the best possible The elements of the problem which Dr. Anstie seeks to solve results from its use in similar emergencies. The apparatus devised by Dr. Aveling, which in principle, he believed, re- are simply these. There are two classes of physiological agents, sembled one that had been recommended by Dr. Richard- respectively known as stimulants and narcotics; and there is son, was, he considered, objectionable for a variety of reasons. also an intermediate class known as narcotic-stimulants. All The want of transparency prevented the observer ascertaining three classes act upon the nervous system: the stimulants What was going on in the tube; it was not easy to connect, the power of exciting its action, the sedatives of de: having off-hand, the tube with the vein of the individual supplying the blood ; and. further, it would be found very objectionable pressing the same, and the narcotic stimulants of producing to bring the individual supplying the blood into close proximity both kinds of effects. The author’s aim, in general terms, ia with the individual dying from loss of blood. The person sup- to discover what effects may fairly be included under the term
stances, the would be
nerve
likely
so
him
of
Rebiews
Stimulants
report
and
Notices of Books.