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September 30, 1950

INTRA-ARTERIAL TRANSFUSIONS IN HEMORRHAGIC EMERGENCIES: Complete Recovery Following Massive Pulmonary Artery Hemorrhage

Author Affiliations

Staten Island, N. Y.

From the Halloran Veterans Administration Hospital.

JAMA. 1950;144(5):382-383. doi:10.1001/jama.1950.62920050001008

Intra-arterial transfusion has recently acquired a significant place in the medical literature. The following case report is one involving cessation of respiration and cardiac action following massive hemorrhage and the application of successful resuscitative measures. It may also emphasize the importance of having means for intra-arterial transfusion set up as standard equipment in the operating room and the delivery room.

REPORT OF CASE  A man aged 27, a slightly obese Puerto Rican, had pulmonary tuberculosis since August 1946. A roentgenogram revealed that the right lung was functionless and the left lung overexpanded but otherwise normal.Preoperative laboratory studies showed normal blood count, bleeding time and coagulation time and normal urine. The serum protein level was 8 Gm. per 100 cc. The blood urea nitrogen determination was 17 mg. per 100 cc.Right pneumonectomy was performed on May 20, 1949 with the patient under cyclopropane-ether anesthesia administered through an oral endotracheal