A study of the distribution of the red cells in the circulating blood is of both theoretical and practical importance. In spite of the fact that blood taken from artery, vein or finger has the same cell plasma ratio (1, 2), certain investigators (2,3,5) believe that the red cells are not uniformly distributed throughout the vascular bed but that the blood from the large vessels has a higher cell plasma ratio than the blood contained in the minute vessels. Direct observation of the minute blood vessels (6) has shown that the red cells flow in the rapidly moving central portion of the stream and that there is a slow moving clear layer of plasma adjacent to the wall of the vessel. Because of the size of this peripheral layer of clear plasma in the minute blood vessels, it has been suggested that the cell plasma ratio of blood contained in the minute vessels is lower than that of blood from the large vessels.The cell plasma ratio of the blood contained in the minute vessels has not been determined because of the difficulty in obtaining a sample of this blood. Blood collected from a vein or from the cut ends of minute vessels is representative of the blood flowing from the minute vessels but it is not necessarily representative of the blood contained within the minute vessels. The blood contained within the minute vessels consists not only of the central core of red cells and plasma which is flowing rapidly into the veins, but also of the slower moving peripheral layer of plasma.In this study a technique for obtaining a portion of the blood actually contained within the minute vessels is described. To obtain this blood it is necessary (1) to obstruct the arterial inflow to the part, (2) to empty the blood out of the large vessels, and (3) to force the blood from the minute vessels into the veins where it can be collected. The hemoglobin concentration and protein concentration of the venous blood and of the blood contained within the minute vessels were compared.
METHODFifteen experiments were performed on six normal male subjects. All determinations were made on fasting subjects who had rested in the horizontal position for 30 minutes. A blood pressure cuff was placed loosely on the arm, care being taken not to cause venous distention. A needle, with the point toward the wrist, was introduced into the antecubital vein distal to the cuff. In most of the experiments the vein was entered without a tourniquet. When a tourniquet was used, blood was allowed to drip from the needle for 3 minutes before proceeding. A sample of venous blood was then taken. Immediately thereafter the arterial inflow to the arm was stopped by suddenly inflating the cuff on the arm to a pressure of 300 mm. of Hg. The forearm and hand were then elevated and the bl6od (usually 40 to 60 cc.) was removed by a syringe. When no more blood could be obtained, an Esmarch's bandage was applied to the forearm, beginning at the wrist, and the remaining blood was milked toward the needle. About 3 to 6 cc. of blood were obtained during the application of the ...