From blood to saline solutions: a paradigm shift in the 19th century
https://doi.org/10.30629/0023-2149-2025-103-6-480-488
Abstract
The article provides a comprehensive study of statistical data on the number of performed hemotransfusions, intravenous injections of salt and milk solutions in clinical practice of the XIX century. A bibliometric analysis of the frequency of citation of these data in the Ngram Google books system was performed. The periods of the most active experimental study and practical use of these procedures, occurring in 1830–1840 and 1870–1880, are revealed. The reasons for the paradigm shift in transfusiology during the 19th century have been established, refl ected in the simultaneous increase in popularity of one and the decline of the other treatment methods. These processes could be caused by the direct results of the use of blood transfusions and blood substitutes during military confl icts and the cholera epidemic, progress in the fi eld of experimental physiology, as well as the introduction into clinical practice of new methods of administration of infusion drugs.
About the Authors
M. S. SergeevaRussian Federation
Maria S. Sergeeva — Candidate of Historical Sciences, Associate Professor, Institute of Social Sciences
Moscow
N. N. Krylov
Russian Federation
Nikolay N. Krylov —Doctor of Medical Sciences, Professor of Institute of Social sciences
Moscow
A. A. Zobova
Russian Federation
Anna A. Zobova — student
Moscow
References
1. Kamelskikh D.V., Serebryany R.S. Blood transfusion as an innovation in medicine (from animal blood drinks to the dream of «biotech»). Byulleten' Nacional'nogo nauchnoissledovatel'skogo instituta obshhestvennogo zdorov'ya imeni N.A. Semashko. 2022;4:104–109. (In Russian). DOI:10.25742/NRIPH.2022.04.019
2. Gesellius F. Die transfusion des blutes. eine historische, kritische und physiologische studie. St. Petersburg, Leipzig; 1873.
3. Landois L. Die transfusion des blutes: versuch einer physiologischen begründungnach eigenen experimental-untersuchungen: mit berücksichtigung der geschichte, derindicationen, der operativen technik und der statistik. Leipzig. 1875.
4. Eckert J.F. Objective studie ü ber die transfusion des blutes und deren verwerthbarkeit auf dem schlachtfelde. J.F.Eckeret. Wien: Moritz Perles; 1876:168.
5. Ore P.C. Etudes historiques, physiologiques et cliniques sur la transfusion du sang. p.c.ore. Paris: J.B. Baillière; 1876:723
6. Greenhalgh P. (1988) Ephemeral vistas. The expositions universelles, great exhibitions and world’s fairs, 1851–1939. Manchester University Press, Manchester, p. 3.
7. Sergeeva M.S., Panova E.L. The studies of blood transfusion and the attempts of its implementation into medical practice in 1800–1875: The fate of J.-A. Roussel’s device in Russia. Medicina Historica. 2020;4:(2):e2020003.
8. Sergeeva M.S., Panova E.L. Brilliant promotion for a doubtful invention: the bloodtransfusion device of doctor Joseph-Antoine Roussel (1837–1901) in European medicalscience and practice in 1860–1880. Bylye Gody. 2021;16(1):244–252.
9. Sergeeva M.S., Panova E.L. Blood transfusions for the wounded: promising method of battlefi eld surgery or utopia of mid-1870-s? History of Medicine. 2021;7(2):133–139.
10. Hasse О. Die lammblut-transfusion beim menschen: 31 eigene Transfusionen umfassend St. Petersburg, Leipzig; 1874:72.
11. Dritter Congress der Deutschen Gesellschaft für Chirurgie. Zweiter Sitzungstag. Donnerstag, den 9. April 1874. Berliner klinische wochenschrift. 1874;28:353–354
12. Landois L. Die Transfusion des Blutes: Versuch einer physiologischen Begründungnach eigenen Experimental-Untersuchungen: mit Berücksichtigung der Geschichte, der Indicationen, der operativen Technik und der Statistik. Leipzig; 1875
13. Ponfi ck E. Ueber die Wandlungen des Lammblutes innerhalb des menschlichen Organismus. Berlin, 1874.
14. Panum P.L. Zur Orientirung in der Transfusionsfrage. Centralblatt für Chirurgie. 1875;29:457−459.
15. Zimsen G.V. Lecture IV. Subcutaneous injection of blood, infusion of salt water and transfusion of blood into veins. M.; 1887:9. (In Russian).
16. Nikolsky V.M. On the issue of blood transfusion into the peritoneal cavity. St. Petersburg.1880:71. (In Russian).
17. Sander F. Zur Lammbluttransfusion. Berliner klinische wochenschrift. 1874;15:174
18. Panum P.L. Til Orientering i Transfusionsspörgsmålet. Nordiskt Medicinskt Arkiv. 1875;7(3):1–82.
19. Markus F.C., Dr Jähnichen, Hermann R. Rapport sur le choléramorbus de Moscou Moscou De L’imprimerie D’Auguste Semen Imrimeur D’Academie Imperiale Medico-Chirurgicale. 1832:408.
20. Little W.J. Notes of unsuccessful and successful cases of saline alcoholic injections into the veins for relief of collapse of malignant cholera, treated during the epidemic of 1848-49. In: Clinical lectures and reports by the medical and surgical staff of the London Hospital with an appendix on the recent epidemic of cholera (volume III). London: John Churchill and Sons; 1866:132-168.
21. Awad Sh., Allison S.P., Lobo D.N. The history of 0.9% saline. Clinical Nutrition. 2008;27:179–188. DOI: 10.1016/j.clnu.2008.01.008
22. Corbyn F. Reports on the epidemic cholera which has raged throughout Hindostan and the peninsula of India, since August 1817. Published under the authority of government. Bombay, J.F. de Jesus; 1819:5
23. Jaehnichen F. Quelques réfl exions sur le choléra-morbus Moscou: De l’imprimerie d’Auguste Semen. 1831:130.
24. Remedies tried at Sunderland in cholera — others suggested. London med. Gaz. 1831;32(9):317–318.
25. O’Shaughnessy W.B. Proposal of a new method of treating the blue epidemic cholera by the injection of highly-oxygenised salts into the venous system. Lancet. 1831;1:366–371.
26. O’Shaughnessy W.B. Chemical pathology of cholera. Lancet. 1832; 2: 225–232.
27. Baskett T.F. William O’Shaughnessy, Thomas Latta and the origins of intravenous saline. Resuscitation. 2002;55(3):231–234. DOI: 10.1016/s0300-9572(02)0029
28. Magendie F. Lecons sur le cholea-morbtis faites au College de France (Paris). Méquignon-Marvis. 1832:305.
29. Bischoff J.J. Ein günstig verlaufener fall von intraarterieller Infusion einer alkalischen Kochsalzlösung bei drohendem Verblutungstode. Centralblatt für Gynäkologie. 1881;23:545–547
30. Jennings C.E. The intravenous injection of fl uid for severe haemorrhage. Part I. Lancet. 1882;120:436–437. DOI: 10.1016/s0140-6736(02)38999-2.
31. Ott D. Über den Einfl uss der Kochsalzinfusion auf den verbluteten Organismus im Vergleich mit anderen zur Transfusion verwendeten Flüssigkeiten. Virchows Archiv pathol. Anatomie. 1883;93:114–16.8.
32. Thomas T.G. The intra-venous injection of milk as a substitute for the transfusion of blood: illustrated by seven operations. New York. D. Appleton & Company. 1878:24. 33. Meldon A. Case of intravenous injection of milk. Lancet. 1880:527
33. Ottenburg R., Kaliski D.J. Accidents in transfusion; their prevention by preliminary blood examination based on an experience of one hundred and twenty-eight transfusions. JAMA. 1913;61:2138–40.
34. Ottenburg R. Studies in isoagglutination. I: Transfusion and the question of intravascular agglutination. J. Exp. Med. 1911;13:425– 38. DOI: 10.1084/jem.13.4.425.
35. M.S.Sergeeva, N.N. Krylov Creation of salt preparations for intravenous administration in the XIX century. Eksperimental'naya i klini cheskaya farmakologiya. 2024;87(8):30–37. (In Russian). DOI: 10.30906/0869-2092-2024-87-8-30-37.
Review
For citations:
Sergeeva M.S., Krylov N.N., Zobova A.A. From blood to saline solutions: a paradigm shift in the 19th century. Clinical Medicine (Russian Journal). 2025;103(6):480-488. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-6-480-488
































