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bibnum:91496x1924:0176
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bibnum:91496x1924:0177
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bibnum:91496x1924:0211
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bibnum:91496x1924:0220
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bibnum:91496x1924:0243
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bibnum:91496x1924:0244
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bibnum:91496x1924:0245
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bibnum:91496x1924:0246
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bibnum:91496x1924:0247
protocol: http://iiif.io/api/image
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bibnum:91496x1924:0248
protocol: http://iiif.io/api/image
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bibnum:91496x1924:0249
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bibnum:91496x1924:0250
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bibnum:91496x1924:0251
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bibnum:91496x1924:0252
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bibnum:91496x1924:0253
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bibnum:91496x1924:0256
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    none: Fig. 1 Technique de Lewishon (1915). 1er temps : le sang est recueilli par ponction veineuse et mélangé dans un verre avec le citrate
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    none: Fig. 2 (in rapport de Jeanbrau, p. 37). Technique de Lewishon ; transfusion du sang à l’aide d’un appareil à Salvarsan. Notez la simplicité de la manoeuvre ; opposez à cette simplicité l’inconvénient du transvasement, l’usage d’un long tube de caoutchouc qui crée un dangereux inconnu / Fig. 3 (rapport de Jeanbrau, p. 40). Technique de Bécart pour la transfusion citratée. Le sang va directement à l’ampoule ; un agitateur facilite le mélange du sang et du citrate
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    none: Fig. 4 (rapport de Jeanbrau, p. 41). Technique de Bécart. Transfusion citratée à l’aide de la pesanteur. C’est bien la technique de l’injection intraveineuse de sérum sucré ou chloruré. Seul le titre de la figure serait à changer / Fig. 5 (rapport Jeanbrau, fig. 8, p. 29). Technique de Bécart. Le sang pur est recueilli directement dans l’ampoule paraffinée sous injection d’oxygène. Réfléchissez au danger de toute erreur du paraffinage
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    none: Fig. 6 (rapport Jeanbrau, fig. 9). L’ampoule de Bécart est remplie ; une soufflerie est adaptée au gros orifice ; rapidement l’ampoule est adaptée à la canule intraveineuse, manoeuvre délicate entre toutes, qui serait également difficile en transfusion citratée ; mais que d’appréhension doit donner la transfusion de sang pur (1923) / Fig. 7. - L’instrumentation de la transfusion sanguine dans les boîtes à transfusion de Georges Rosenthal. Le compartiment des seringues. Voyez la seringue courte (11 cm) et large (6 cm) de 100 cc. à embout latéral, solide, robuste et bien en main ; une seule main suffit à la manier. Voyez la seringue géante de 250 cc. pour les grandes transfusions, son embout est latéral. Voyez les capsules-bouchons pour seringues petites ou géantes, et les raccords en caoutchouc mou qui faciliteront la manoeuvre au début. Montés sur pitons, vous trouverez aussi les raccords intermédiaires aux embouts des seringues géantes et pavillons des aiguilles
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    none: Fig 8. - La boîte à transfusion de G. Rosenthal. Compartiment supérieur. C'est le compartiment des trocarts-canules en Y à double effet, dont le principe est dû à Potain. Il laissera dans la veine une canule mousse, l’extrémité latérale recevra la seringue nue ou armée du raccord en caoutchouc mou ; le pavillon terminal fermé ; injection simultanée (préférée par Dupuy de Frenelle) ou consécutive de sérum glucosé. Notez le trocart-canule droit pour l’urgence, les grosses aiguilles montables directement sur la seringue géante, les aiguilles ordinaires, et même le compartiment où se trouve une aiguille à extrémité renflée en boule qui peut se fixer dans une veine dénudée, s’il est besoin, ce qui est exceptionnel. Remarquez les ampoules de provision de citrate de soude à 10 % / Fig 9. - Transfusion chez le nourrisson
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    none: Fig. 10 (cliché de la Clinique, mars 1923). - Blechmann nous a appris à injecter les nourrissons dans la veine jugulaire malheureusement trop mobile et dans les veines épicrâniennes bien fragiles. Poussez très lentement l’injection dans les veines épicrâniennes qui se dilatent volontiers (Soc. de médecine de Paris, 12 oct. 1923, fig. 3 de notre communication) / Fig. 11. - Deux pièces des plus utiles de notre instrumentation, le raccord en caoutchouc mou et la capsule-bouchon des seringues géantes. Le raccord en caoutchouc mou facilite la manoeuvre de la seringue de 250 cc, que tiendra un aide. La capsule-bouchon se manie avec des mouvements de rotation ; elle transforme la seringue géante en vase clos aseptique. Son utilité s’étend à toute manoeuvre des seringues géantes ; le modèle pour seringue de 20 cc. doit devenir d’un emploi quotidien dans tout laboratoire / Fig. 12. - Notre seringue de 100 cc. avec son aiguille large de 2 millimètres directement montée peut se manier d’une main, après un certain entrainement. Elle peut par un raccord s’utiliser avec toute aiguille. C’est une technique sûre, qui n’a pas la grande facilité du maniement du trocart en Y. (Fig. 9, P. M)
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    none: Fig. 13. - Notre trocart-canule à double effet en Y avec canule fixe de 9/10 de millimètre (grandeur naturelle) et la seringue capsulée (Paris Méd, 9 juin 1923, fig. 4) / Fig. 14. - La figure montre que nos gros trocarts-canules ont un manche qui en facilitent le maniement. Entraînez-vous à vous passer des raccords de caoutchouc
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    none: Fig. 15 - Justification de la dénomination de nos trocarts-canule à double effet. Par le pavillon latéral du trocart s’effectue la transfusion sanguine de la seringue A. En même temps le bock B rempli de sérum dilué le sang en pénétrant par le pavillon bà travers le robinet couvert ou fermé à volonté. C’est l’injection double simultanée chère à notre distingué collègue Dupuy de Frenelle
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    none: Fig. 16. - Notre Trocart canule droit à pavillon large pour seringue géante. La canule a 2 millimètres 5 de large ; c’est l’instrument d’urgence ; il est rapide et sûr. En quelques secondes il remplira la seringue de 100 cc., mais il n’a pas la propreté de maniement de nos trocarts canules en Y / Fig. 17. - Nos deux dispositifs d’urgence. A droite la seringue géante fait une prise de sang comme une seringue de 20 cc. A gauche l’aiguille est dans la veine; elle est munie d’un petit tube de caoutchouc mou. Le sang sera recueilli dans le corps de pompe de la seringue géante capsulée et naturellement citratée. (Fig. 8, P. M)
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    none: Fig. 18. - Cette figure montre nos multiples emplois de la seringue géante et des trocarts-canules à double effet. Notez l’avantage que vous aurez de faire vos ponctions sans laisser dans la plèvre une aiguille piquante (c’est le principe du Potain), mais vous pouvez ici, comme dans les ascites, les ponctions d’arthrite purulente, etc., faire d’une façon rigoureusement aseptique ponction, lavage ou injection d’électrargol, lantol, - bleu de méthylène. Nous réalisons ainsi l’oléothorax de Bernou. (Revue de Path. C., fig. II. 5 fév. 1923) / Fig. 19. - Manoeuvre de transfusion chez un amputé d’après Lapeyre. (G. R. in La Clinique, Voies accessoires de transfusion, mars 23)
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