To the Editor.
—Dr. Horsley's report, under "Correspondence" in the September issue of the Archives, of thirty direct blood transfusions, in addition to the twenty-four transfusions he had previously reported as being performed without a subsequent chill or unusual rise of temperature, is a remarkable one. It speaks well for his and for his associates' technical ability in vascular surgery and justifies the particular method used by them. However, other writers have reported many cases of direct transfusions of blood by vascular suture and cannula followed by severe reactions; so that it can hardly be said in general to be a method "that is not followed by a varying percentage of reactions." There have been exceptional series of cases by other methods of transfusion. The late Dr. Lindeman reported 214 cases of blood transfusion by the syringe cannula technic without a subsequent chill; yet one would hardly claim that technic