COLUU8U UBRARIES OFFSITE I II II II III (III |l HX00060801 RECAP SMITHSONIAN CONTRIBUTIONS TO KNOWLEDGE. lf3o&ghin6 3Fun&. THE CoMPOSriTOX OF EXPIRED AlR AND ITS EFFECTS UPON ANIMAL LIFE. J. S. BILLINGS. M.D.. S. WEIR MITCHELL, M.D. AND D. H. BERGEY. M.D. city op washington publi.>;hed by the Smithsonian in-^titution. 1895. I _ ,,:»-Vf' vj'^t^-' nFlP.I Jl^ Columbia ®nit)frs(ttp intl)fCitPoflft»gork Conege of ptjpginans anb ^urgtonct Itibrarp Digitized by the Internet Archive in 2010 with funding from Columbia University Libraries http://www.archive.org/details/compositionofexpOObill SMITHSONIAN CONTRIBUTIONS TO KNOWLEDGE. 989 ir^obtjlnns Jfunb. THE Composition of expired Air AND ITS EFFECTS UPON ANIMAL LIFE. J. S. BILLINGS, M.D., S. WEIR MITCHELL, M.D. AND D. H. BERGEY, M.D. CITY OP WASHINGTON : PUBLISHED BY THE SMITHSONIAN INSTITUTION. 1895. "■\ 14^ COMMISSION TO WHOM THIS MEMOIR HAS BEEN REFERRED. HORATIO C. WOOD. WILLIAM HF:NRY WELCH. CHARLES -SEDGWICK MINOT. ADVERTISEMENT. The preseut iiieinoir is the result of :i series uf iuvestigations made by Doctors J. S. Billings and S. Weir Mitchell, assisted by Doctor D. II. Bergey, undrr a Lcrant from the Ilodgkins Fund of the Smithsonian Institution, for the purpose of determining the nature of the peculiar substances of organic origin contained in the air expired l)y human beings, with special reference to the practical application of the results obtained to problems of ventilation for inhabited rooms. In accordance with the rule adojtted l)y the Smithsonian Institution the woik has been submitted to a committee, in the present instance con- sisting of Doctor H. C. Wood, Professor ^^'illialn II. Welch, and Professor Charles S. Minot, and having been recommended by them for pul)lication, it is lierewitli presented in the series of Contrilnitions to Knowledge. S. P. LANGLEY, SECRETARY. Washington, November, 1895. Ill The Composition of Expired Air, and its Effects upon Animal Life. REPORT ON THE RESULTS OF AN INVESTIGATION MADE FOR THE SMITHSONIAN INSTI- TUTION UNDER THE PROVISIONS OF THE HODGKINS FUND. By J. S. Billings, M.D., S. Weir Mitchell, M.D., and D. H. Bergey, M.D. In May, IS!);?, a grant was made from the Hodgkins Fund to Drs. John S. Billings and S. Weir Mitchell, "for the purpose of conducting an investigation into the natui'e of the peculiar substances of organic origin contained in the air expired by human beings, with special reference to the practical application of the results obtained to problems of ventilation for inhabited rooms." For a number of 3'ears prior to 1888 the prevailing view among physicians and sanitarians had been that the discomfort and dangers to health and life which had been known to exist, sometimes at least, in niiventilated i-ooins occupied by a num- ber of human beings, were largely or entirely due to peculiai- organic matters con- tained in the air expired by these persons, and that the inci'ease in carbonic acid due to respiration had but little effect in jiroducing these results, its chief import- ance being that it furnished a convenient means of determining the amount of vitiation of the air. Recently, however, sevei'al experimenters have concluded that the organic matters in the exhaled breath are not harmful, at all events to animals, and tlie main object of the pi'oposed investigation was to determine the correctness of these conclusions. Foi- this purpose a scheme of experimentation was prepared by Di's. Billings and Mitchell, \vhich scheme has been carried out in the Laboratory of Hygiene of the Univei'sity of Pennsylvania, by Dr. D. H. Bergey, assisted at times in the chemical work by Di'. Hill S. Warwick, and in some of the pathological investigations by Dr. Ingersoll Olmsted, and under the general supervision of Dr. A. C. Abbott, First Assistant in the Laboratory, to whom thanks are due for many valuable suggestions duiing the progress of the work. From time to time Dr. ■2 THE COMPOSITION OF EXPIRED AIR, Bei'gey's notes on tlie results of liis experiincnits linve been submitted to Drs. Bill- ings and Mitchell, who have suggested niodificatious or new experiments as the work progressed. Tiiis re[)ort is based on these notes, and accom[ianying tables and ciiarts, given in tlie Appendix. The effects produced on animals and men by an atmos[)liere contaminated with tlieir exhalations, and with pai'ticulate matters derived from their bodies or their immediate surrouiulings, may be divided into acute and chrt)nic. The acute effect may be death in a few minutes or hcnirs, as shown l)y the results oliserved in the Black Hole of Calcutta, in the steamei' Londonderry, and in many of the experi- ments referred to in this report, oi' it may be simply great discomfoi't, especially in those unaccustomed to such conditions. The chronic effects include the favoring of the action of certain specific causes of disease commonly known as contagious, if these are present, and perhaps also a general lowei'ing of vitality. The statistical evidence collected by the English Barrack and Hospital Com- mission (1) * as to tlie effects of insufficient ventilation upon the health of soldiei's in barracks, published in 18(U, showed that men who live for a considerable portion of their time in badly ventilated rooms have higher sickness and death-rates than have tliose who occujiy well ventilated rooms, other conditions being the same; and this has also been found to be true with regard to monkeys and other animals. It is evident, however, that in a room occupied by animals or men there are many sources of impurity besides the exhaled breath, and it is still a question whether the expii'ed air contains substances injurious to life, excluding carbonic acid. The widely divergent result^ obtained and conclusions reached by diffei'ent investigators during the last ten years as to \vhether the exlialed breath of men and animals contains a peculiar volatile organic poison, have made it desiraljJe to repeat and var}' such experiments in oi'der, if possible, to settle this important point. The chemical analyses of the air of overcrowded rooms, and the experiments upon animals with various proportions of carbonic acid, made by many investigators, indicate that the evil effects observed are probably not due to the comparatively small propoiiions of carbonic acid usually found under such circumstances. It was shown by Leblanc (2), in 1842-43, that an animal can breathe an atmosphere containing as much as 30 per cent, of carbonic acid for three-quarters of an hour, provided that the percentage of oxygen was 70, and then quickly recover from the depression induced by this mixture after removal to the normal atmos- phere. He also demonstrated that under the conditions in which the quantity of * The numbers in parentheses refer to the bibliographical list appended to this report. ^ AND ITS EFFECTS UPON ANIMAL LIFE. 3 carbonic acid rises perceptibly in theatres, etc., the reduction of oxygen is quite insignificant, and tliat the pi'oportion larcly falls below 20 per cent. Regnault and Reiset, (3), iu 1849, also found that when sufficient oxygen is supplied to an atmosphere quite rich in cai'bonic acid, an animal can still live in it. FrieiUiiniler and llerter (4) found that the breathing of an atmosphere containing 20 per cent, of carbonic acid for an hour produced no symptoms of depression, but caused stinuilation of the respiratory centres and an increased activity of the heart. Claude Bernard (5), in 1857, experimented with animals confined in atmos- pheric air and in mixtures both richer and poorer in oxygen than atmospheric air. A small bird placed in a bell glass of a little moie than two litres' capacity, containing a mixtui'e of 13 per cent, carbonic acid, 39 per cent, oxygen, and 48 per cent, of nitrogen, died in two and one-half hours. He demonstrated tliat carl)onic acid is not poisonous when injecteil under the skin of animals — as much as one litre injected under the skin of a i-abbit producing no ill effects. No ill effects followed the injection of the gas into the jugular vein and into the carotid arterj-. An atmosphere of eipial parts of oxygen and nitrogen had no effect upon an animal confined in it, while an atmosphere composed of equal parts of carbonic acid and of oxygen produced inunediate death in the animal placed in it. lie explains the poisonous effects of carbonic- acid when respired to be due to the fact that it deprives the animal of oxygen. Similar results were reported by Valentin ((>) and by Paul Bert (7). Richardson, in 1860-01, (8), found that a temperature much higher or lower than 20° C. had the effect of shortening very considerably the lives of animals con- fined in an unventilated jai', and that these effects were more marked when the animals were confined in an atmosphere richer iu oxygen than air, in which case he found that by passing electric sparks from a fiictional machine through the fatal air (having previously de[)i'ived it of its carbonic acid) it was again made capable of supporting life, from which he concluded that the oxygen is " devital- ized " during i-espiration, and that the electric spark has the faculty of revital- izing it. Von Pettenkofei', in 1860-63, (9), showed that the symptoms observed in crowded ill-ventilated places were not [)roduced by the excess of carbonic acid, noi- by a decrease in the proportion of oxygen in the air; neither of these being suffi- cient in our dwellings, theatres, etc., to produce toxic effects. He did not believe that the impui'e air of dwellings was directly capable of originating specific dis- eases, or that it was really a poison in the ordinary sense of tlie term, but that it diminished the capability of withstanding the influence of disease-producing agen- 4 THE COMPOSITION OF EXPIRED AIR, cies on the part of those continually breathing snch aii-, and laid down the rule, which has been accepted and taught by sanitaiians for thii'ty-five years, that the proportion of carbonic acid in the atmosphei'e of inhabited places affords a safe indication as to the amount of the other impurities resulting from respiration and other exhalations from the bodies of the occupants. Hammond, in 1863, (10), reported experiments in which he sought to remove the carbonic acid and moisture, and to supply fresh air as fast as it is needed to take the place of the carbonic acid removed, thus leaving the " organic matter" to accumulate in the vessel. For this purpose he confined a mouse in a large jar, in which were several sponges saturated with baryta-water, by which the carbonic acid was removed as fast as formed. Fresh air was supplied as fast as required by means of a tube communicating with the bell jar and closed by water in the bend of the tube, which acted as a valve. As the air in the bell glass was rarefied by respiration and absorption of the carbonic acid, fresh air flowed in from without, while the arrangement of the tube prevented the air of the bell glass from passing out. The watery vapor exhaled by the animal was absorbed by two or three small pieces of chloride of calcium. The mouse died in forty minutes. The observation was repeated many times, and death ensued invariably in less than an hour. On causing the vitiated air to pass through a solution of permanganate of potash the presence of organic matters in large quantity was demonstrated. Ransonie, in 1870, (11), reported a series of very interesting investigations upon " Oiganic Matter of Human Bi'eath in Health and Disease." By condensing the aqueous vapor of the human breath and analyzing it by the Wanklyu and Chapman method, he found that "in ordinary respiration about 0.2 g. of organic matter is given off from a healthy man's lungs in 24 hours," while in the air expii'ed by persons affected witb certain diseases, he found great variations in the amount of organic matter, the amount being greatest in a case of phthisis compli- cated with Bright's disease. Smith (12) employed a lead chamber in his investigations upon the question whether human lungs give off any poisonous agent other than carbonic acid. He found the pulse to fall from 73 to 57 beats per minute, and the number of respirations to rise from 15.5 to 24, as the carbonic acid in the atmosphere increased fiom .04 to 1.73 per cent, during four hours. When the proportion of carbonic acid I'ose to 3 per cent, there appeared great w"eakness of the circulation with slowing of the heart's action, and great difhculty in respiration. He believed that these results should be attributed to other conditions rather than to the excess of carbonic acid, because lie found later that it was only when lamps became dim in an atmosphere AND ITS EFFECTS UPON ANIMAL LIFE. 5 — indicating a proportiou of about 10 per cent, of carbonic acid present — that tlie respii'ation became dillicult. Seegen and Nowak, in 1879, (13), believed thej' had demonstrated the presence of poisonous orpiuic niattei' in the expired lireath, l)ut the (piautity fouud was so small that they failed to determine its exact nature and properties. Hermans, in 1883, (l-l), was unable to detect any organic matter in the atmos- phere of a tin cage in \\liich several persons had been confined for a number of luuirs, and found that an atmosphere containing from 2 to 4 per cent, of carbonic acid and 1;") per cent, of oxygen was not toxic. Browu-Scquard and d'Arsonval, in 1887,(15), reported that the air expired by men and dogs in a state of health has the power of producing toxic [)henoniena; citing three series of experiments on rabbits where such phenomena were observed. In the fii'st series they injected into the vascular system of a rabbit 4 to 6 c. c. of fluid obtained by injecting from 15 to 25 c. c. of pure filtered water into the trachea of a dog. In a second series, fi-om 6 to 7 c. c. of a li(pii(l obtained by con- densing the moisture in the exhaled breath of a man, were injected into the aorta, or into a vein, of a rabl)it. In the third series fi'om 4 to 6 c. c. of a licpiid, obtained by condensing the moisture in the exhaled breath of a tracheotomized dog, were used. The condensed liquid thus obtained was filtered and then injected either into the jugular vein or the carotid arteiy. The symptoms observed were dilatation of the pupils and increase of the heart- beat to 240, 280, or even 320 per minute, lasting for several days or even weeks. The temperature remained noi-mal ; the i'es])ii-atory movements were generally slowed ; and usually there was observed paralysis of the j^ostei'ior members Choleraic diarrhoea was invariably present. Death usually took place in a few days, or at the farthest in four or five weeks. As a rule, it appeared that larger doses caused laboi-ed respiration, violent retching, and conti-acted pupils. A rapid lowering of temperature, 0.5 ° to 5.° C, was sometimes observed. The appearances that presented p'jf^t mortc-in were much like those observed in cardiac syncope. They believed they had discovered a volatile organic poison in the exhaled breath and the moisture condensed fi'om it. This poison they believed to be of the nature of an oi'ganic alkaloid, or a 2)toniaine not unlike Brieger's ptomaine (16). In further reports, in 1888, (17), they state that none of eleven rabbits in which the condensed pulmonaiy vapor had been injected into the vascular system in doses of 12 to 30 c. c. survived, but of eight rabbits receiving an injection of from 4 to 8 c. c, three were living after the lapse of from four to five weeks, but were then weak. When the fluid was injected under the skin of the thorax and 6 THE COMPOSITION OF EXPIRED AIR, ill the axilla, five out of seven i'al)l)its died ia])i(lly. 'J'lie results were iiiucli tlie same as when it was injected into tiie blood. The (juantity of the condensed liquid injected iu these seven was : 20 e. c. in one case, 25 c. c. in three cases, ?>] c. c. in one case, 40 c. c. in one case, and 44 c. c. in another case. After death, consider- able congestion of the viscera was noted, especially of the lungs. No appearance of embolism was noted. The brains and its membranes were congested, but with- out visible lesion. The condensed liquid turns concentrated sulphuric acid yellow. The poison is reduced by anunoniacal nitrate of silver solution as well as by chloride of gold. After boiling in a close vessel it is still toxic, showing that the poison is not a inicro-orgauisra. Tiie boiled lung licpiid poisons with more rapidity than that which has not been sterilized, and may kill a pigeon and a guinea-pig as well as a rabbit; it may kill by being injected into the rectum or into the stomach; a guinea-pig two months old was killed within twelve hours by an injection of 3 c. c. into the peritoneal cavity. If injected into the lungs this li(|uid jiroduces rapid congestion followed by true inflammation and red hepatization. In an expei'iment with two dogs it was arranged that one breathed ordinary air and the second inhaled air which came from the lungs of the other. The dogs were of the same weight, 15 kilograms. The experiment continue!,! for six houi'S and forty minutes. No appreciable or immediate consecutive accidents wei'e [)roduced. In a second experiment the pulmonary liquid was collected from dogs through a tracheotomy tube to exclude impurities furnished by the mouth. The air inhaled was first washed to remove dust. The moisture in the air expired was condensed, and the liquid collected in a flask surrounded by ice. At the moment of injection this liquid was filtered, and was then injected at the temperature of the laboratory, about 12° C. If the animal was kept immovable from 12 to IG hours, inflammation of the air passages was produced. The li(]uid of the first hours came from a thoroughly sound lung, and in the later hours from a diseased lung. The two wei'e collected sepai'ately and tried separately. For one kilogram of the animal, for each hour, the mean quantity of fluid obtained was 0.38 grammes, varying from 0.28 to 0,48 grammes. It was greater in the beginning and lessened the longer the animal was kept in a fixed position. It was injected into the marginal vein of the ear of a rabbit 1)y means of a syringe, 75 c. c. being injected. When the injec- tion did not exceed 40 to 50 c. c. the time occupied by the injection was fi-om G to 15 minutes. Experiments made by injections upon the dog were negative with- out exception. Experiments made upon the rabbit produced lesions, but the relation between these and the injections was uncertain. Dastre and Loye, in 1888, (18), reported that they had exposed one dog to AND ITS EFFECTS UPON ANIMAL LIFE. 7 the expiretl breath of auother for six lioiirs without noting any effects. They inoculated animals with the condeused moisture of respiration, as follows : 5 rabbits, each ;^^ to 75 c. c. of the fiiiid. Results negative. (( H ii ii il ti (( 2 guinea-pigs, 5 7 da u _ t4 (( it u It ogs, 30 53 2 frogs, " 2 " 3 " " 2 rabbits, " 50 "190 " " " Died. A young dog, 30 " of water. They found tiiat .'30 to 70 c. c. of the condensed fluid of respiration (20 to 35 CO. per kilo.) could be injected into the veins of the ear of a dog without producing any of the symptoms reported liy Browu-Secpiard and d'Arsouval. They observed one death during the injection of 190 c. c. ((50 c. c. per kilo.), yet by control experi- ments with water tiicy obtained a more remarkable result — a rapid death from the injection of 30 c. c. of distilled water (25 c. c. per kilo.). Ru.sso-Gililierti and Alessi, in 1888, (19), reported experiments confirming the results obtained by Dastre and Loye. Wi'irtz, in 1888, (20), attempted to obtain the " ptomaine " of BrownSequai'd and d'Arsonval from the Huid condensed from expired air. By expiring through a 1 per cent, solution of oxalic acid he obtained, besides ammonia, a volatile orgaiuc base which was [irecipitated by Bouchardet's reagent and by potassio-mercuric iodide. With platiiiic chloride it formed a double salt, crystallizing in short needles, and a soluble salt with auric chloride. When heated to 100° C. it gave off a pecidiar odor. This basic substance, he thought, might be regarded as a leuco- maine. Brown-Seqnard and d'Arsonval, in 1889, (21), reported a new form of experi- ment by means of which they obtained additional evidence in su]i}>ort of their for- mer statements. The new form of experiment consisted in confining animals (rabbits) in a series of metallic cages connected by means of i-ubber tubing, through which a constant -current of air is aspirated. The animal in the last cage of the series receives air tiiat has tiaversed the entii'e series of cages, and is loaded with the impurities from the lungs of the animals in the other cages. This animal suc- cumbs, after a time, to the atmospheric conditions present. After another interval of some hours, the animal in the next to the last cage also dies; the first and second animals usually remaining alive. They could not attribute the death of these animals to excess of carbonic acid in the atmosphere of the cages, because they rarely found more than 3 pei' cent, of this gas in the last jar with small animals, or 6 per cent, with larger animals. On placing absorption tubes containing concen- trated Hg SO^ between the last two cages, the animal in the hist cage remained 8 THE COMPOSITION OF EXPIRED AIR, alive, while that in the cage before it was the first to die. They coucluded fi-om these facts, that the death of the animals was produced by a volatile poison, which poison is absorbed by the IlgSO^, which thus saves the life of the animal in the last cage. They stated (22) that any alkali used to absorb carlionic acid from expired air would also change the organic jx^if'ou, and [)i-oposed an ajiparatus by means of \vliicli the oi-ganic poison should be supplied to the fresh air entering the jars by volatilizing it from fluid condensed from the expired air. Von Hofmauu-Wellenhof, in 1888, (23), found that when he injected large quan- tities of the condensed fluid of respiration at 12 ° C, instead of at 37 ° C. — intravenous injection, — a resemblance of the results obtained by Brown-Sequard and d'Arsonval was produced. Under such cii'cumstances he observed muscle %veakness, slowing of respiration, fall of temperature, and dilatation of the pupils, though the animals remained alive. He injected 10 rabljits with 6 to 30 c. c. of the fluid warmed to the body temperature, all the I'esults being negative. Tliree other animals were in- jected in the jugular vein^one receiving 28 c. c. of the fluid, another 25 c. c. of distilled water, and a third 50 c. c. of distilled water. There was no difference in the symptoms noted in the animals. He noticed synqitoras of depres- sion only after injecting 50 c. c, or more, of the fluid. In a series of 17 experiments with inoculations of from 30 to 50 c. c. each of the fluid, in 12 there appeared hiemoglobinuria ; 6 of these died. As the i-esult of his experiments, he concluded that the existence of a volatile poison in the expired aii' of healtliy human beings has not been demonstrated by his experiments ; this being a direct contradiction of the results of Bi'own-Sequard and d'Arsonval, as were also those of Dastre and Loye. Uft'elmann, in 1888, (24), found that there was a perceptible increase in organic matter in the atmosphere of a sleeping-room occupied by several persons for some hours, increasing in amount with the length of time the room was occupied. Lehmann and Jessen, in 1890, (25), collected 15-20 c. c. of condensed fluid per hour from the breath of a i)erson exhaling through a glass spiral laid in ice. The fluid was always clear as water, odoi'less, and of neutral reaction. Nessler's reagent showed the presence of ammonia constantly, with good teeth l)ut little, sometimes merely a trace, with bad teeth, more, though never more than 10 mg. of NH^Cl in one litre. Traces of HCl were also constantly found. A small sediment remained on evapora- tion, ranging from 39 to 86.4 mg. per litre of fluid. This they believed to originate from the glass vessel ; being probably calcium oxalate. They tested its reducing power upon solution of permanganate of potash, making two control determinations. The first determination showed 3.6 mg. of O for the oxidation of 1 L. ; the second, AND ITS EFFECTS UPON ANIMAL LIFE. 9 4.2 iiig. of O. They were unable to obtain any alkaloiil reaetioir in the condensed fluid, or in its distillates, by means of PtCl,,, An CIg, KCdl, KBil, KI, Roucliardet's reagent, KgCrOg, [)icric acid, metawolfraniic acid, or j)liosphowolframic acid. Oidy siiblinuite gave at times an opalescence wlncli, like the yellow coloration of the Xessler reagent, pointed to traces of Nil,. Neither could they succeed, accord- ing to the method of Wi'irtz, in obtaining a lime or o.xalic acid-free filtrate. The ammoniacal silver solution, according to Brown-Sequard and d'Arsonval's method, failed to give the desired reaction — remaining clear. They confined a man, (•lMtliet increase of respirations to 30 and 40 per minute, were noticeable. They had complete negative results from inoculations of condensed fluid into animals. Lipari and Crisafulli, in 1889-90, (26), reported results which were in accoixl with those of Dastre and Loye, and directly opposed to those of Browu-Sc(piaid and d'Arsonv;d. They could find no organic principle possessing toxic properties in the expired breath of healthy ^icrsons. Mai'gouty, in 1891, (2V), reported the residts of experiments similar to those of Ilannuond, and also of experiments in injecting fluid condensed from expired air into animals. His results did not correspond to those reported by Hammond, and there was no evidence of toxic propei'ties in the injected fluids. Haldane and Smith, in 1892, (28), published an account of expei'imeuts in which an aii'-tight chamber, 6 feet 2 inches high, 2 feet 11 inches wide, and 3 feet 11 inches long, was employed. Samples of air for analysis were drawn off through a tube placed in the wall of the chamber, about three feet from the floor. When one person remained in this chamber until the vitiation was from ten to twenty times as great as in the most crowded and woi'st ventilated public build- ings, there was no perceptible odor or sense of oppression. Air vitiated to such an extent as to completely prevent a match from burning had uo appreciable effect upon the subject of the exjierinient. In other experiments hyperncea and other phenomena produced were apparently due to the increased proportion of carbonic acid. With rabbits weighing 1800 grammes, Laematuria was produced when the amount of boiled distilled water injected passed beyond 100 c. c, and, therefore, 80 c. c. were taken as the maximum dose. To obtain the condensed liquid from the lungs, a man expired thi'ough a Lie- big condenser, in the jacket of which was flowing a stream of ice-cold water. Tlie condensation liquid was collected in a flask, the bulb of which was buried in ice ; and when the required amount (80 c. c.) had been obtained, it was at once injected 10 THE COMPOSITION OF EXPIRED AIR, iiiti) Ihe suhcutafieoiis tissue of the hack. Six rabl)its were tlms injected, eacli with 80 c. c. of the fluid, witli no evident distiirhance of liealtii in any of tlieui; 80 c. c. to a ral)l)it coiTesjxmds to a dose of al)out .'5 litres to a man. Tiiey also re[)eated the e.\|teriiuents of l>rown-Se(juai'd and d'Arsonval in supplying to the animals air cliarged with oi'ganic matter drawn directly from the lungs of other animals. Two large rabbits were placed iu an air-tight chamber and a curi'ent of air diawn through this was supplied to two yoUng rabbits under observation ; no efi'ect was produced. Mei-kel, iu 1892, (29), reported an experiment iu which four air-tight glass vessels, of U litres capacity, were couuected by means of glass tubes; a mouse being placed in each vessel. Between the third and fourth vessels a Geissler absorption tube, containing sulphuric acid, was interposed. Air was now drawn slowly through the vessels by means of an aspiratoi', so that the second mouse breathed the air from the first, the third from that of the second, etc. The result was, just as in the experiment of Brovvu-Sequard and d'Arsonval, that the mouse iu the third vessel died iirst, after 16-20 hours, while that in the fourth vessel remained alive. The conclusion is drawn that, as the fourth mouse remained alive, the death of the third cannot have been due to excess of carbonic acid, or deficiency of oxygen in the air, but must have been caused by the presence of some volatile substance which is absorbed or destroyed by sulphuric acid. The symptoms presented by the mice before death were at fii'st restlessness and gradually increasing acceleration of respiration, afterward slowing of respira- tion, and finally spasmodic deep I'espirations, becoming constantly less frequent until the advent of death. The proportion of carbonic acid in the air led through the glass vessels was not poisonous ; it amounted iu the highest case to 1.5 per cent. Merkel also conducted the expired breath through HCl with the idea of com- bining the organic matter with it, and believed he was successful, but the quantities of the "salts" produced were so small that determination of their chemical nature was impossible. His experiments upon animals with this body, obtained from its combination by neutralization of the acid, gave negative results. He concludes that the expired breath of healthy persons contains a volatile poison in exti'emely small quantities ; being probably a base which is poisonous in its gaseous state, but loses its toxicity after combination with acids. His belief in the toxicity of the organic matter contained in the expired breath of human beings is based solely ujion the results he obtained iu the " Brown-Sequard and d'Arsonval" experiment. AND ITS EFFECTS UPON ANIMAL LIFE. 1 1 llaldane and Sinitli, in 1893,(30), repeated the " Brown-Sequard " experiment, using five bottles, each of a capacity of 1 to H litres, connected by means of tubes. A mouse was placed in vafii l)ottlo and ventilation established through the whole system by means of a filter pump ; a small meter being placed between the last bottle and the pump. Specimens of air leaving the last l)ottle were drawn of? at intervals for analysis. Full-grown mice were used. Tiic mice in the last two bottles were exposed to the full effect of the vitiated air for 53 hours without detriment. In a second experiment an absorption tube containing pumice-stone saturated ^vith sulphuric acid was placed between the last two bottles. This experiment was continued for thirty hours ; no serious effects were observed. The amount of ventilation funiislicd was from 12 to 24 litres pei' hour. The mice remained iiDrmal after having been in the bottle three days and the percentage of carbonic acid in the last bottle had varied from 2.4 to 5.2, avei'aging about 3. They state that these expei'iinents, like their former ones on rabbits and man, ai'e distinctly against the theoiy that a volatile poison, other than carbonic acid, exists in the expired air. Beu, in 1893, (31), repoiied the results of experiments, made undci' the direc- tion (if Uffelmann, in which the condensed moisture of expired aii- was collected by the methods usually employed, taking the pi'ecaution to cleanse his apparatus with solution of K^InO^ and distilled water, and likewise stei'ilizing the ai)paratus befoi'e it was brought into use. The saliva is collected in a Woulff bottle attached before the condenser. The amount of air expired, measured by a gas metei", was found to be 30nii litres in eight hours, from which he collected 100 c. c. of fluid. A distinct ammonia reaction was obtained upon the addition of Nessler's reagent. Nitrate of silver failed to show the presence of chlorine. Its reducing power upon solution of permanganate of potash showed 50 mg. of oxygen necessary to oxidize one litre of fluid, or 15 mg. in 24 hours, which denotes 0.0017 mg. per litre of expired air. The alkaloid reaction vvitli AuCej, KI, phosphomolybdate of potash, gave negative lesults. He expired 500 litres through 150 c. c. of a 1 [)er cent, solution of IICl — then evaporating to dryness on the water-bath, a yellowish-brown deposit remained. This deposit, dissolved in distilled water, formed a fatty layer on the surface of the slightly yellow fluid. The whole (pumtity, 1.5 g., was warmed to the body tem- perature and injected under the skin of the back of a white mouse without pro- ducing observable symptoms. This fluid had a distinct odor not comparable to anything. lie next confined a mouse in a sealed glass vessel, having a globe attached 12 THE COMPOSITION OF EXPIRED AIR, with potash solution to absorb the carbonic acid ; 3200 expirations of air were conducted into the glass vessel dui'ing the three hours — no effect noticeable. In a second experiment the carbonic acid was not absorbed, the experiment lasting four hours — no effect. He repeated the " Brown-Sequard " experiment, using white mice in four glass cages. The death of the animals, he believes, was due to changes in the tempera- ture and the accumulation of moisture in the jars. He believes the protection afforded by HjSO^ in Browu-Secpiard and d'Arsonval's experiments was due to its abstraction of the moistui-e from the air. An acute poisoning through the organic matters contained in the expired air he believes to be impossiVjle, or at least as not shown by anything in his experiments. Rauer, in 1893, (32), used white mice confined in glass vessels of about 1^ litres capacity, the bottom t>f which was covered with oats. The coi'k was per- forated by three tubes : one of these passed down near the bottom of the vessel and served for the entrance of the air; the second terminated just below the coi'k and served for the exit of air; and the thii'd extended down to about the height of the animal but was usually closed, this was only used for the removal of air for its chemical examination. . In the beginning, thermometers and hygrometers were used in the vessels, but they were found to be unimportant and were abandoned. The whole apparatus was connected with a large aspirator. In an experiment with five animals and a ventilation of four litres per hour, the carbonic acid was found to amount to 9.3 percent, after five honrs. In another experiment with six animals and with a ventilation of 2^ litres per hour, he inserted four absorption tubes with soda-lime between the last two jars, and a Geissler tube containing concentrated HgSO^ between the fourth and fifth. The sixth animal remained alive while the fifth died earlier than the fifth animal in the first experi- ment. He concludes that there is no organic poison in expired air, death being due to the excess of carbonic acid in the atmospheres of the jars. Sanfelice, in 1893, (33), reported that he had repeated the " Hammond " experiment, using a flask of about 5 litres capacity, the animal dying in six or seven hours. He is undecided as to the existence of a volatile expiratory poison, though he thinks that other factors, for instance, heat radiation, have an important influence upon the results. Liibbert and Peters, in 1894, (34), reported that they had repeated the "Brown- S(^qnard " experiment, placing a guinea-pig in each of a series of four flasks. Between the third and fourth flasks they placed a combustion tube through which the air coming from the third flask was conducted, passing over red-hot cupric oxide, to remove the organic matter. Before reaching the fourth flask, the air was AND ITS EFFECTS ITPON ANIMAL LIFE. 1 3 again cooled by coiuUictiug it tlirough a cylinder surrounded witli ice. In this manner ;dl moisture contained in the air was condensed. From this cylinder the air passed through a series of twelve U-tubes, each made from a piece of tubing 80 cm. in length and of 2 millimeters internal diameter. During its passage through these U-tubes the air assumed a temperature of about 18 ° C. as it entei'ed tlie fourth flask. The I'esults o])tained by this arrangement substantiated the con- clusions they had fornu'il from cunduc-ting the e.xperiment in the oi'dinarx' niaiinei-, that the cause of deatli was ti'aceable to the high per cent, of carbonic acid. Tiie removal of the organic matter by combustion failed to save the life of the animal in the last jar when the carbonic acid had inci'eased to 11 or 12 per cent. After the absor[>tion of the carbonic acid by means of soda-lime the last animal remained alive. They conclude, therefore, that the poisonous expiratory poison of Brown- Sequard and d'Arsonval does not exist, but that death is produced by the excess of carbonic acid in the flasks. Brown-Secpiard and d'Arsonval, in 1894, (35), reported further experiments, and at the same time gave fuller details as to all their experiments and the apparatus em- ployed. They had inoculated over one hundred animals with the condensed fluid of i-espiration and believed in the tiuth of theii' former statements as firmly as ever. They could not understand the failures on the part of the other experimenters. They emjijiatically I'eaftirm that tlie expired lireath of man and animals contains a volatile organic poison producing the results reported by them, and tliat these residts are not produced by excess of carbonic acid or deficiencv of oxygen in the air. From the foregoing sununai} of the reports of different exjierinienters, it will be seen that widely different results have been i-eported by them, but that the majoi'ity of the later investigators agree in denying that the exhaled breatii of iiealthy human beings or of animals contains a poisonous organic alkaloid, or any poisonous product other than carbonic acid, yet in any case positive results require an expla- nation which shall account for the facts. Dii. beegey's experiments. The first experiments made by Dr. Bergey were to ascertain whether the con- densed moisture of air expired by men in ordinary, quiet respiration, contains any particulate organic matters, such as micro-oiganisms, epithelial scales, etc. The test for micro-oiganisms was made by having an adult man expire for from twenty to thirty minutes tlirough sterilized melted gelatin, which was then preserved as a culture for from twenty to thirty days. In the first trial, six, and iu the second 14 THE COMPOSITION OF EXPIRKD AIR. two colonies of common ;iir orij;;inisms (icvclopcd ; !)nL wlicn special care was taken to thoroughly sterilize; the vessels used, the I'esiilt was that in two consecutive trials the gelatin remained sterile. Ejiithelial scales and other jiarticulate inatteis wei'e sought for hy condensing the vapor of the exhaled breath and examining the pi'o- duct with the microscope, with and without tlie use of stains. In six preparations thus examined no bacteiia or epithelial cells were found. Tliis result was to he expected, since neither bacteiia nor wetted particles pass into the air from the sur- face of fluids, or from moist surfaces, unless the air currents ai'e sufficiently power- ful to take up particles of the liquid itself in the form of s^ira}-. Abbott (36), in his paper on " Sewei-Gas," reports some experiments made to determine the possibility of conveying micio-organisBis from licpiid cultuie media by means of a current of air bubbling through such media; also by means of t)rdinary baker's yeast inoculated into media containing from i to 5 jter cent, of glucose. No ])acteria were carried from the culture by the ex[)]oding air-bultbles produced by the yeast, but a cui'reut of aii'e(pial to 3^ litres in six luiurs, bubbling through a liquid culture, carried with it some of the organisms in the culture. The determinations of ammonia in the condensed fluid of expii-ed air, the esti- mation of its reducing power upon solution of permanganate of potash, and its reacti(.)n with various reagents (see Ap>pendix, Section II.), were made with fluids collected from a healthy man, from a man with a ti'acheal fistula fcillowing excision of the lai-ynx, the expired air not coming in contact with the nnjuth oi' the pharynx, and from a man suffering from well marked tuberculosis of the lungs. In each case the amount of ammonia and of albuminoid ammonia in the fluid was very small, as shown by Table B in the appendix, the average being, in grams per liti'e of fluid : Healtliy man Man with tracheal fistula Consumptive .Mbuniinoid Ammonia. .o8l .00036. .0034. The oxidizable matter in these fluids, as shown by theii' reducing power on a solution of permanganate of potash, was detei'mined, and the details are given in Table C in the appendix. The average results, stated in milligrammes of oxygen consumed per litre of condensed fluid, are as follows: Healthy man, 10.72 ; man with tracheal fistula, 13.49; consumptive, 19.34. The high average for the man with the tracheal fistula is due to a single observation, for which the figure was 24.916. Omitting this, the average for the three other observations would be 9.68. AND ITS EFFECTS UPON ANIMAL LIFE. 15 The average for five s[)eeiriieiis of fluid condensed from the expired air of a healtiiv ni.iii four iiours after lie iiad tal;en a meal was 11.98, while the average for six s[)eeimeMs from the lueath of the sauie uiau half an lioui' after the meal was i>nly 3.8(). For two specimens from the same man collected three and a half and four hour.s after a meal, liut just after the mouth had been thoroughly rinsed with warm water, the average was 2.4',). These results indicate that the ammonia and oxidizable oi'ganic matter in the condensed iluid were, to a lai'ge extent, due to products of decomposition of organic matters in the mouth. The well known fact that the amount <>f oxygen absorbed ami of caibonic acid given oK varies accord- ing' to whether the person is fasting or has recently taken a meal, may possibly be ill part due to the same cause, but the results obtained by Birkhol/, (87) indi- cate that it can only be in part. Rausome (11) reports no marked difl'erence iu the amount of ammonia, or o( oxidizable organic matter, as determined by the per- manganate test, contained in the fluids collected from the exhaled breath soon after a meal and in that collected from a fasting person. Ben (-"SI ) found a much higher proportion of oxidizable matter in the fluid condensed from his own breath (50 mg. of oxygen re(piired i)er litre of fluid) than was .found iu Dr. Bergey's experi- ments. His results indicated the exhalation of 15 mg. of organic matter in 24 hours, the corresponding figure from Ransome's results being 20 mg. About 12 c. c. of fluid was collected from about .'585 litres of air expii'ed pei' hour, being nearly equal to the results obtained by Beu (31), who condensed 100 c. c. of the fluid from three cubic metres of air.expired in eight hours. Renk (88, p. 1(32) gives a table showing that in an average quantity of 9000 litres of air expired in a day by a healthy man, the amount of moisture may be from 200 to 400 grammes, depending on the temperature and relative moisture of the inspired ail-. With ;iir containing 5ly intinence tlie result, l)ut tiiis influence must be slight. Ransome's I'esults indicate that tlie age, health, and vigor of the person may affect the amount of organic matter exhaled, and Dr. Bergey's e.xperiments with the fluid obtained from the consumptive patient show that a smallei- pro[)ortion of ammonia and a largei' amount of oxidizable luatter weve present in it than in the fluid collected from a hcallhy man. It should be remembered, also, that it is extremely difficult to obtain accurate results in quantitative determinations (_)f such very minute amounts of ammonia and oxidizable matters as are found in expired air, and a pai't of the differences in results obtained is no doubt due to unnoted differences in the details of the experiments. The results of tests foi' the presence of an organic alkaloid in the condensed fluids obtained by Dr. Bergey were negative, corres[)onding to those reported by Lehmann and Jessen (25) and by Beu (31). The I'esults of attempts to condense the moistui'e of the air in the hospital ward (Apjiendix, III., 3) were not satisfactory, and the detei-minations of ammonia in the fluid obtained are not comparable, except that they show that the placing of a dust filter in front of the condensing apparatus causes a maiked reduction in the propor- tion of ammonia in the condensed fluid. The eva[)o]'ation equalled the condensa- tion except on days when the extei'ual air was saturated with moisture, hence no moisture was collected on clear days, but on such days some dust ^^ai'ticles may have accumulated in the aftparatus which had no filter. Some experiments wei'e made to determine the amount of oxidizable matters in atmospheric air, the results of which are given in Taljle F, in the appendix. These results differ greatly, some showing a mere trace of organic matter, others showing an amount which consumed .204, .340, and .558 grammes of oxj'gen per 1000 cbm. of aij-. The great differences in the amount of ammonia in air found by different observers as tabulated by Renk (38, p. 40), and as repiorted by Remseu (39), Miss Talbot (40), Nekam (41), Archarow (42), and Abbott (36), while evidently in [lart due to diffei'euces in metlnjds of experiment, must be more largely due to differences in the amount of organic dusts in the air in different places or in the same place at different times, than to differences in the amount' of ammoniacal gases or organic vapors in the air, and the same is true with regard to the differ- ences in the amount of oxidizable organic matter in the air reported by Angus Smith (12), Carnelly and Mackey (43), and others. Several series of experiments were made to determine the nature of the gaseous mixtures in which small animals die with symptoms of asphyxia. The first of these series were repetitious of the experiments reported by Hammond and described AND ITS EFFECTS UPON ANIMAL LIFE. 17 above. Mice ami sparrows were used. The details are given in tlie Appendix IV., 1, and the residts in Table Ct. It was found impossible, by Hammond's method, to absoil) all the carbonic acid produced by au animal, and it will be seen by Table tr, that at the time of death of the sparrows, the carbonic acid had increased until it foi'med from 12.27 to 14.08, or an average for eight experiments of 13.24 per cent, of the air, while the oxj'gen had diminished to from 3.25 to 5.61, or an average of 4.67 pi'r cent, of the air. The symptoms observed were those [pro- duced liy insufficiency of ox3^gen, and there was no evidence that death was due to oi'gaiiic matters in the air. The duration of life in the animals confined was from thi'ce to six hours, being much longer than that reported by Hammond using a slightly smaller vessel, viz. less than one hour, and coi'responds to the results re- ported by Sanfelice (33), who found that the animals lived from six to seven hours. AVlien the experiment was so modified that all the carbonic acid was removed from the air breathed by the animal — as described in the appendix, the animal did not die in seven hours, although the percentage of oxygen had been reduced to 18.35, as shown by Table li in the a[ipeiidix. These experiments, therefore, furnish no evidence of the existence of an organic poison in the expired air, but the method of aVjsorbing carbonic acid by an alkali is said by Bro^vn■Sequard and d'Arsonval (22) to change the organic poison which they claim to be present, and hence these experiments are not conclusive on this point. A series of experiments was also made upon mice and sparrows to determine the time required to produce death by asphyxia when the animal is confined in a jar of known capacity, when no provisi(Mi is made for removing carbonic acid and moisture, or for supplying fresh air, and also to determine the proportions of carbonic acid and of oxygen existing in the enclosed air at the time of death. In connec- tion with these experiments it was also sought to determine the influence which high or low temperatures of the air would have on the result. The data deiived from these expei-inients are shown in Table I in the Ai)pendix. A mouse weighing 21 grams, placed in a jar of 1000 c. c. capacity at a tem- perature of 30 ° C, lived four hours ; in a jar of 2000 c. c. capacity a similar mouse lived seven and a half hmns ; in one case when the room temperature was 25.5° C, in another case when the room temperature was 5°C. In the first case death occurred when the amount of carbonic acid was 12, and that of the oxygen 8.6 per cent, of the mixtui-e; in the .second case, the pi'oportions were 13.2 per cent, of car- bonic acid and 6.4 per cent of oxygen ; and in the third case, 10 per cent, of car- bonic acid and 9.2 per cent, of oxygen. Thei'e ai-e considerable differences in suscep- tibility to the effects of an impure atmosphere in individual mice, but when a mouse is placed in a closed jar containing ordinary atmospheric air, the time required to 18 THE COMPOSITION OF EXPIRED AIR, jiroduce deatli is usually tli.it iviiuired to pi'ddnee tlic proportions of oarlionic acid and of oxygen indicated above, and, hence, is in pro[)oi-ti()n to the size of the jar. A mouse should li\e about twice as long in a jar of 2000 c.c. as in one of 1000 c. c, othei' contiitioiis as to tenqierature, etc., being the same, and commencing with oidinary atmosplieric air. The (Uiration of life in the expei'iinents with atmosfiheric air in closed vessels, making due allowance for variations in the air Nolume, coincides quite closely with the dui'ation of life in the " Hammond " ex[ieriment. The air analyses at death of the animals in the two forms of experiment, also gave very similar results. In comparing the I'esults shown in Tables G and I, it is necessary to bear in min]es I and J, that death does not occur in atmospheres in which the carbonic acid does not exceed 10 [)er cent, unless the oxygen is reduced to below 7 per cent, of the mixture. A series of experiments was made by injecting into animals the fluid con- densed from the air expired by healthy persons and by a man with a tracheal fistula, from whom it was possible to obtain such fluid without contamination from the exhalations from the mouth. The details of these experiments, and of the results obtained, are given in the Ap2)endix, VI. The injections were made into the general circulation in rabbits, and into the pei'itoneal cavities of rabbits, guinea- pigs, and white rats, following the methods employed by Brown-Sequaixl and d'Arsonval (15) and by v. Hofmann-Wellenhof (23). The number of animals inoculated with the condensed fluid of respiration was thirteen, in four sets. The fluid was collected with the greatest care in a sterilized appai'atus ; subsequent cul- tures made from it indicating that it was sterile. It was waimed to about 35° C, before injection. The proportion injected, as compared with the body weight of the animals, was, in some instances, less than that used by Brown-Sequard and d'Arsonval, in others greater than the smallest quantities used by them with fatal effects. The results obtained, with the amount of fluid injected iu each case, are shown iu Table K, given iu the Appendix. In most of the animals no observable disturbance of health was produced, nor did this condition alter iu the course of several months dui-ing which they were kept under observation. One rabbit died thirty-two days after having received an injection into its peritoneal cavity of 5 c.c. of fluid condensed from the breath of a man with tracheal fistula. The results of 'post-moi'tem examination showed focal necrosis in the liver, but no ecchymoses and hemorrhages in the lungs and intes- tines, such as ai'e reported as a characteristic result of such injections by Brown- Sequard and d'Arsonval. Three other rabbits which had received injections of the condensed fluid, aud had remained apparently perfectly well fi'om six weeks to seven months, were killed and careful post-mortem examinations made. The I'esults of these examinations showed that there was no special disease or degeneration in the organs of these animals. The results of this series of experiments are, thei'efore, in accord with those reported by v. Hofmann-Wellenhof (23), and indicate that fluid condensed from the pulmonary exhalations of man has no toxic or specially injurious effect when injected into animals, and that there is no evidence that such fluid contains an organic poison. AND ITS EFFECTS UPON ANIMAL LIFE. 21 Tlie attempt to collect coiuleiisetl moisture fiom the air of tlie hospital ward was 1)11 1 partially successful, as lias been stated above, aud a sufficient amount of the fluid to make injection expei'imeuts was not directly oljtained. To overcome this difficulty the air of the ward was drawn over sterilized glycerine wliich was then ililuted with distilled watei', and the product injected into animals. The re- sults are shown in Table E in the Ajjpendix. Three of the animals thus injected died between four and six weeks later, but t\\Q post-vwrtem examinations failed to show any clear connection between the injection and the fatal result. As it was shown that the fluid collected and the dust iu the ward contained several species of bacteiia, including pathogenic forms, it was to be expected that more definite results would have been obtained, but the power of the cells and tissues to resist the pathogenic oi'ganisms was sufficient to prevent their action in each case, except, perhaps, in one, in which the abscess produced may have been due to p>yo- genic bacteria in the injected fluid. A number of experiments were made in which animals, in a series of Jaell jai'S, Avere caused to breathe air which became more contaminated with the products of respiration as it passed through the series, being a repetition of the experiments of Brown-Sequard and d'Arsonval. The form of the apparatus used, and the details as to the results obtaiued in each of the thiity-three experiments of this kind, are given in the Appendix, VII. These experiments were performed on spariows, mice, guinea-pigs, and i-abbits. It was veiy difficult to keep the apparatus absolutely air-tight, and, no doubt, some of the discrepancies iu the results, at least for the earlier experiments, are due to slight leakage of air through some one or more of the numerous joints. The more concordant results in the later experiments indicate that these defects had been obviated. In the great majority of cases death was evidently due to the diminution in the oxygen and iuci'ease in the carbonic acid — the proportions of these gases present in tlie jar when an animal died being about the same as in the experiments reported in Table I, /. , 10(i white corpuscles per cultic millimetre, an aniniiiit wiiicii has little significance. Microcytes were found in the blood of the ani mals immediately after the experiment, l)ut noue were found thirty-eight days later. The organs of a numbei'of the animals that died in these expeiiments were pre- served in alcohol and examined microscopically. The changes noted post mortem were those of pmfound venous congestion nt' .ill the internal organs. The lungs were fretpientU' so charged with venous blood that the portions preserved for microscopic examination failed to float in water. The right side of the lieart was usually dilated with a large firm venous clot, the left ventricle w-as in most instances contracted. The liver, on incision, bled fi'eely, as did also the kidneys and spleen, the blood being quite dark and venous. All the capillaries were unusuall)' pi'omi- nent, being filled with venous blood; this was particularly noticeable in the small intestine, and in the luembi'anes of the bi'ain. Microscopic examination of the organs presented a picture coinciding with the gvoss post-iiiortetii a})pearances. In the lungs the capillaries wei'e found to be dis- tended with blood, occluding in many cases the lumen of the alveoli and air cells, and presenting a typical jiicture of passive hyj)eiwmia. In the liver, kidneys, and spleen, as well as in the intestines, the capillaries were likewi.se overloaded with blood. Patliological changes wei'e but rarely noted, and some of these, such as slight proliferation of connective-tissue elements betw^een the tubules of the kidney, and, in rarer instances, in the inter-lobular spaces of the liver, are such as are occa- sionally found in animals which have not been subjected to such conditions, and may, therefore, have existed in the animals at the beginning of the experiment. All the changes which were constantly present may propeily be attributed to the action of the carbonic acid and the low percentage of oxygen in tlie atmosphere, intei'feriug with the cii'culation and aeration of the blood. The lesions reported by Brown- Secpiard and d'Arsonval as characteristic in such cases were not seen. No focal necroses or peculiar uniform degenei'ative changes were found. The results of these experiments, therefore, do not agree with those reported by Brown-Sequard and d'Ai"sonval — and furnish no evidence of the existence of an organic poison in the air expired by animals. 24 THE COMPOSITION OF EXPIRED AIR, CONCLUSIONS. I. Tlie it'sults obtaiiieil in this reseairli indicate tliat in air exj>ire(l by healthy mice, sparrows, rabbits, guinea-[)igs, or men, tiicn; is no peculiar organic matter wliicli is poisonous to the animals mentioned (excluding man), or which tends to [)rodin'e in these animals any s[)ecial foi'ni of disease. The injurious effects of such air observed appeared to be due entircdy to the diminution of oxygen, oi' the increase of carbonic acid, or to a combination of these two factors. They also make it very improbable that the minute (quantity of oi'ganic matter contained in the air expired from human lungs has any deleterious influence u[)on men who inhale it in ordinary rooms, and, hence, it is probably unnecessary to take this factor into account in providing for the ventilation of such rooms. II. In oi-dinary quiet respiration, no bacteiia, e[)ithelial scales, or particles of dead tissue are contained in the expired air. In the act of coughing or sneezing, such organisms or particles may probably be thrown out. III. The minute (juantity of ammonia, or of combined nitrogen, oi- other oxidizaljle matters, found in the condensed moisture of human breath appears to be largely due to products of the decomposition of organic matter which is constantly going on in the mouth and pharynx. This is shown by the effects of cleansing the mouth and teeth upon the amount of such matters in the condensed moistui-e of the breath, and also by the differences in this respect between the air exhaled through a ti'acheal fistula and that expired in the usual way. IV. The air in an inhabited room, such as the hospital ward in which experiments were made, is contaminated from many sources besides the expii'ed air of the occupants, and the most important of these contaminations are in the form of minute particles or dusts. The experiments on the air of the hospital ward, and with the moisture condensed therefrom, show that the greater part of the ammonia in the air was probably connected with dust particles which could be removed by a filter. They also showed that in this dust there were micro- organisms, including some of the bacteria which produce inflammation and suppuration, and it is probable that these were the only really dangerous elements in this air. V. The experiments in which animals were compelled to breathe air vitiated by the [)i'oducts of either theii' own respii'ation or by those of other animals; or \ve)'e injected with fluid condensed from expired air, gave I'esults contrary to those reported by Hammond, by Bi-own-Sequard and d'Arsonval, and by Merkel, but corresponding to those reported by Dastre and Loye, RussoGiliberti and Alessi, Hofmann-Wellenhof, Ilauer, and other experimenters referred to in the preliminary historical sketcli of this report, and make it improbable that there is AND ITS EFFECTS UPON ANIMAL LIFE. 25 any peculiar volatile poisonous matter in the air expii-ed by healthy men ami animals, other than carbonic acid. It must be borne in mind, however, that the results of such experiments upon animals as are referred to in this repoi't may be applicable only in pai't to liuiiian beings. It does not necessarily follow that a man would not be injured by continually living in an atmosphere containing 2 parts per 1000 of carbonic acid and other products of respiration, of cutaneous excretion, and of putrefactive decomposition of oi-ganic matters, because it is found that a mouse, a guinea-pig, or a rabbit, seems to suffer no ill effects from living under such conditions for sevei'al days, weeks, or mouths, but it does follow that the evidence wliicli has heretofore been supposed to demonstrate the evil effects of bad ventilation upon human health should be carefully scrutinized. VI. The effects of reduction of ox\'gen and inci'ease of cai'bonic acid to a certain degree appear to be the same in artificial mixtures of these gases as in air in which the change of proportion of these gases has been produced by respii-ation. VII. The effect of liabir, wliicii may enable au animal to live in an atmos- phere in which, by i^natliial change, the proportion of oxygen has become so low and that of the carbonic acid so hi XXVI, 299-519, 2 pi. 4. Friedliinder (C.) and Ilerter (E.) Ueber die Wirkung des Sauerstoffmangels auf den thierischen Organismus. Ztschr. f. physiol. Chem., Strassb., 1879, III, 19-53. 5. Bernard (C.) Lejons sur les effcts de sub- stance tcxiques et m^dicamenteuses. 8vo, Paris, 1857- 6. Valentin (G.) Ueber Athmen im gesch- lossenen Raume. Ztschr. f. rat. Med., I.eipz. and Heidelb., 1861, 3. s., X, 33-100. 7. Bert (P.) Lefons sur la physiologic com- par^e de la respiration ; profess^es au museum d'histoire naturelle. 8vo, Paris, 1870. 8. Richardson (B. W.) On certain of the phenomena of life. Tr. M. Soc. Lond., 1861, I, 53-128. 9. Pettenkofer (M.) and Voit (C.) Unter- suchungen fiber die Respiration. Ann. d. chem. u. pharm., Leipz. u. Heidelb., 1862-3, -■ suppl. bd., 52-70. 9. Pettenkofer (M.) Ueber die Respiration. .\nn. d. chem. u. pharm., Leipz., u. Heidelb., 1862-3, 2. suppl. bd., 1-52. 9. Pettenkofer (M.) Ueber die Bestimmung des luftformigen Wassers in Respirations-Ap- parate. Sitzungsb. d. bayer. Akad. d. Wissensch., Mi'mchen, 1862, II, 152-161. 9. Pettenkofer (M.) Ueber die Ausscheidung von Wasserstoffgas bei der Ern;ihrving des Hundes mit Fleisch und Stiirkmehl odor Zucker. Sitzungsb. d. bayer. Akad. d. Wissensch., Munchen, 1S62, II, S8-91. 10. Hammond (W. A.) A treatise on hygiene with special reference to the military service. 8vo, Philadelphia, 1863. 11. Ransome (.\.) On the organic matter of human breath in health and disease. J. Anat, and Physiol., Lond., 1870, IV, 209-217, i tab. 12. Smith (R. A.) Air and rain : the begin- nings of a chemical climatology. 8vo, London, 1872. 13. Seegen (J.) and Novvak (J.) Versuche iiber die Ausscheidung von gasfiirmigen Sticks- toff aus den im Korper umgesetzten Eiweiss- stoffen. Arch. d. ges. Physiol., Bonn., 1879, XIX, .347-415. 14. Hermans (J. T. F.) Ueber die vermeint- liche Ausathmung organischer Substanzen durch den Menschen. Ein Beitrag zur Ventila- tionsfrage. Arch. f. Hyg., MQnchen u. Leipz., 1883, I, 1-40. 29 30 THE COMPOSITION OF EXPIRED AIR, 15. Brown-Scquard and d'Arsonval. Demon- stration de la puissance toxique des exhalations pulmonaires provenant de I'liomme et du chien. Compt. rend. See. de biol., Par., 1887, 8. s., IV, 814-818. 16. Brown-Sequard and d'Arsonval. Resem- blances entre Taction toxi(|iie de certaines ptomaines et celle du poison pulmonaire. Compt. rend. Soc. de biol., Par., :888, 8. s., V. 108- 1 10. 17. Brown-Sequard and d'Arsonval. Re- cherches demonstrant que I'air expire par riiomme et les mammiferes, a I'eclat de sante, contient un agent toxique tres puissant. Compt. rend. Acad. d. sc, Par., 1888, CVI, 106-112. 17. Brown-Sequard and d'Arsonval. Nou- velles recherches demonstrant (jue les poumons secretent un poison extremement violent qui en sort avec I'air expire. Compt. rend. Soc. de biol,, Par., 1888, 8. s., V, 33-54- 17. Brown-Sequard and d'Arsonval. Sur quelques points importante relatifs a la duree de la survie des lapins apres I'injection sous-cutanee du liquide contenant le poison de I'air expire. Compt. rend. Soc. de biol.. Par., 1888, 8. s., V, 121-172. 17. Brown-Sequard and d'Arsonval. Re- raarques sur la valeur des faits qui nous ont servi a demontrer la toxicite de I'air expire. Compt. rend. Soc. de biol., Par., 1888, 8. s., V, 99-104. 17. Brown-Sequard and d'Arsonval. Nou- velles remarques a I'egard du poison pulmonaire. Compt. rend. Soc. de biol.. Par., 8. s., V', 54-56. 18. Dastre and Loye. Recherches sur la toxicite de Tair expire. Compt. rend. Soc. de biol.. Par., 1888, 8. s., V, 91-99. 19. Russo-Giliberti (A.) and Alessi (G.) Sulla tossicita dell' aria aspirata. Boll. Soc. d'ig. di Palermo, 1888, III, 331-340- 20. Wiirtz (R.) Sur la presence des bases volatilcs dans le sang et dans I'air expire. Compt. rend. Acad. d. sc. Par,, 1888, CVI, 213. 21. Brown-Sequard and d'Arsonval. Nou- velles recherches demonstrant que la toxicity de I'air expire ne depend pas de I'acide carbonique. Compt. rend. Acad. d. sc. Par., 1889, CVIII, 267-272. 22. Brown-Se(iuard and d'Arsonval. Descrip- tion d'un appareil permittant de faire respirer a plusieurs animaux de I'air libra et sur quant a ses proportions d'oxygene et d'acide carbonique, mais contenant des quantites considerables du poison de I'aire expire. Compt. rend. Soc. de biol., Par., 1888, 8- s., V, no. 23. von Hofmann-Wellenhof (G.) Enthalt die Expirationsluft gesunder Menschen ein fluchtiges Gift? Wien. klin. Wochnschr., 1888, 1,753-755- 24. Uffelmann (J.) Luftuntersuchen, ausge- fuhrt im hygienischen Institut der Universitat Rostock. Arch. f. Hyg., Munchen u. Leipz, 1888, VIII, 262-350. 25. Lehmann (K. B.) and Jessen (F.) Ueber die Giftigkeit der Expirationsluft. Arch. f. Hyg,, Munchen u. Leipz., 1890, X, 367-381. 26. Lipari (G,) and CrisafuUi (G.) Richerche sperenientali sull' aria espirata dall' uomo alio stato normale. Sicilia med., Palermo, i88g, I, 229. Also, transl, [Abstr.] : Arch, de physiol. norm, et path,. Par., 1890, 5. s,, II, 679. 27. Margouty (B. M. E.) Du role des ma- tieres animales dans hi nocivite de I'air expire. 4to, Bordeaux, 1891. 28. Haldane (J.) and Smith (J. L.) The physiological effects of air vitiated by respira- tion. J. Path, and Bacteriol., Edinb. and Lond., 1892-3, I, 168-186. 29. Merkel (S.) Neue untersuchungen iiber die Giftigkeit der Expirationsluft. Arch. f. Hyg., MUnchen u. Leipz., 1892, XV, 1-28. AND ITS EFFECTS UPON ANIMAL LIFE. 31 30. Haldane (J.) and Smith (J. I,.) The toxic action of expired air. J. Path, and Hacteriol., Edinb. and Lond., 1892-3, I, 318-321. 31. Beii (J.) Untersuchungen iiber die Giftigkeit der Expirationsluft. 8vo, Rostock, 1893. -Also in Ztschr. f. Hyg., Leipz., 1893, XIV, 64-75. 32. Raiier. Untersucluingen fiber die Giftig- keit der Expirationsluft. Ztschr. f. Hyg., Leipz., 1893. XV, 57-71. 33. Sanfelice (F.) SuH' aria di alciine am- bienti abitaii. Ann. d. 1st. d'ig. Sper. d. R. Univ. di Roma, 1893, n s., Ill, 399-436. 34. Liibbert (A.) and Peters (R.) Ueber die Giftwirkung der Ausathmungsluft. Pharm. Centralhalle, Dresd., 1894, 541-548. -rl/so, [Abstr.] : Hyg. Rundschau, Beri., 1894, IV, 1 1 18. 35. Brown-Sequard and d'.Vrsonval. Nou- velles recherches demonstrant que la toxicite de I'air expire depend d'une poison provenant des poumons et non de I'acide carbonique. Arch, de phys. norm. et. path., Par., 1894,5. s.. XVI, H3-124. 36. Abbott (A. C.) Chemical, physical, and bacteriological studies upon air over decompos- ing substances, with special reference to their application to the air of sewers. Tr. Cong. Am. Phys. and Surg., New Haven, 1894, III, 28-62. 37. Birkholz (\V.) Ueber den Einfluss der Temperatur und der Erniihrung auf ihr Kohl, ensiiurepruduktion im Thierkorper. Inaug. diss. 8vo, Erlangen, 1889. 38. Renk (F.) Die Luft. Handb. d. Hyg., 8vo, Leipz., 1886, i. Th. 2. Abth. 2 Hft., 1-242. 39. Remsen (I.) Report on the subject of organic matter in the air. Bull. Nat. Bd. Health, Wash., 18S0-1, 517-521. 40. Talbot (M.) Technol. Quarterly, 1887, I, 29- 41. Nekam (L. A.) Ueber die Untersuch- ungen der organischcn Substanzen der Luft. Arch. f. Hyg., Munchen u. Leipz., 1890, XI, 396-409. 42. Archarow (J.) Ueber die Bestimmung der organischen Stoffe der Luft vermittelst Kaliumpermanganat. Arch. f. Hyg., Munchen u. Leipz., 1891, XIII, 229-246. 43. Carnelly (T.) and Mackie (W.) The de- termination of organic matter in air. Proc. Roy. Soc, Lond. (1886), 1SS7, XLI, 238-247. 44. Friedlandcr (C.) and Ilerter (E.) Ueber die Wirkung der Kohlensaure anf den thieris- chen Organismus. Ztschr. f. physiol. Chera., Strassb., 1878-9, II, 99-148. APPENDIX. Details of methods employed, and results obtained, in experiments upon the effects of expired air. David Hendricks Bergey, B. S., M.D. (The numbers in parentheses refer to the bibliographical list appended to the report.) I. — Four experiments were made to determine whether the air expired by man contains micro- organisms. The results are shown in the following table. Table A. No. Date. Culture medium. Amount of medium. Time in breathing. Number of colonies. Time under observation. Remarks. I 1893 Dec. 29 Gelatin. 150 c.c. 30 min. 6 Days. 3° Common air organisms. 2 1894 Jan. 10 u ft u n t( 2 30 U (( It 3 Feb. 7 " <( (( H 11 30 Sterile. 4 Mch. 3 1( (( 11 20 " 20 (( In these experiments the expired breath was conducted through melted gelatin contained in the apparatus shown in Fig. i, for 20 to 30 minutes. The gelatin was then hardened by rolling the flask in a shallow basin containing ice-water, thus distributing the culture in a thin layer over the bottom 33 34 THE COMPOSITION OF EXPIRED AIR, Fig. I. — Apparatus for detennining the pressure of bacteria in expired breath. ind sides of the flask. Tliese cultures were kept under observation for 20 to 30 days. About 150 c. c. of the gelatin was used for each experiment. The glass tube, b, of the apparatus used, which served for the entrance of the expired air, was inserted far enough to just impinge on the fluid culture medium in the flask, so that the air produced a slight agitation of the fluid in passing through the apparatus. Description of the apparatus used for determining the presence of bacteria in expired breath, Fig. 1.: «, represents a half litre Erlenmeyer flask closed with a rubber stopper having two openings. Each of these openings is closed by a glass tube bent at right angles above the stopper. /'. represents the longer glass tube which reaches nearly to the bottom of the flask. This tube has a small bidb-shaped enlargement blown into its upper end, which serves to retain any saliva that might flow into the tube. This tube serves as the mouthpiece through which the air enters the apparatus. When not in use, the mouth-piece is closed with a small cotton plug. The internal diameter of tTie tube is seven mm. c, the shorter tube is bent at right angles and terminates just below the stopper. The external end of this tube is closed with a cotton plug to prevent the entrance of micro-organisms from this side of the apparatus. The internal diameter of this tube is also seven mm. The organisms which developed in these cultures were all of the same character — a small yellow bacillus which is quite common in the air of the laboratory. In the experiments in which gelatin remained sterile, the precaution had been taken to sterilize the apparatus with dry heat for an hour previous to introducing the gelatin, besides the subsequent sterilization of the culture medium on three successive days. If, after standing in the working room for several days, it was found that the culture medium was sterile, the expired breath was then conducted through the apparatus and the culture was kept under observation (for the time specified in the table) at the room temperature. The nature of the organisms that developed in the first two experiments, and the absence of any growth in the others, makes it probable that they developed from spores that survived the fractional sterilization of the culture medium. It is improbable that they were carried in the expired breath. Several attempts were made to use bouillon and litmus milk instead of gelatin, as the culture medium. Neither of the former media was found to be suitable for the purpose. Careful examination of the fluid condensed from the expired air was made with high powers, both in hanging drops, and in six dried and stained preparations, but nothing resembling bacteria or epithelium was found. A few amorphous particles, a few minute apparently crystalline masses, and here and there a fragment resembling vegetable fibre, were all that could be seen. II. — A series of experiments was made to determine the amount of ammonia, of albuminoid ammonia, and of oxidizable matters contained in the fluids condensed from expired air. The apparatus used in collecting the condensed vapor from expired breath is represented in Fig. 2, the condenser of which is laid in ice. Each time before this apparatus was brought into use, the condenser was boiled out with either a solution of bichromate of potash and sulphuric acid, or with alkaline permanganate of potash, then freely rinsed with twice distilled water until entirely free from the cleansing solutions used. The apparatus was then quickly connected together and placed in a large steam sterilizer for an hour. The condenser was then packed in ice and the breath exhaled through the apparatus, using but little greater expiratory force than in ordinary respiration. In several of the experiments a gas meter was attached after the apparatus, in order to measure the volume of air exhaled. This was found to approximate a third of a cubic metre per hour, during which time as much as 12 c. c. of inoisture was collected. The amount of air expired in ordinary quiet respiration ranges from 400 to 500 litres per hour. It is evident that the diminished amount exhaled in the experiment did not represent the full respiratory capacity ; the reduction observed having its cause, in all probability, in the slightly greater effort required to conduct the expired breath through the apparatus. It was noted that the number of expirations ranged from twelve to fifteen per minute, the ordinary rate being about AND ITS EFFECTS UPON ANIMAL LIFE. 35 eighteen per minute. Tliis was also caused by the slight obstruction to the respiratory current prolonging the expiratory movettient. Inhalation took place through the nose. DESCRIPTION OF FIGURE 2. This apparatus was used to condense moisture from the expired breath. It consists of a glass mouth-piece, a, having an internal diameter of seven millimetres ; its length being twenty centime- tres. The distal end of this tube is bent at an obtuse angle and is connected with a glass tube of similar size, bent at right angles, and inserted through one of the openings of the rubber stopper of the wide-mouthed flask b. The other opening of this stopper carries a similar glass tube, also bent at right angles, attached to the proximal arm of the condenser c. To the distal arm of the condenser is attached another glass tube, also bent at right angles, passing through one of the openings of the rubber stopper of the wide-mouthed tlask e. The other opening in this stopper carries a glass tube of similar size, also bent at right angles, passing nearly to the bottom of the flask. The different parts of the apparatus are connected together by means of short pieces of stout, closely fitting rubber tubing. The small wide-mouthed flask b serves as a receptacle for saliva. The tubing in the stopper closing its mouth terminates just below its inner surface. The condenser c is U-shaped, with each of its arms bent at right angles about half-way down to the lower dilated portion, and has an internal diameter of seven millimetres. The dilated portion of the condenser is twelve centimetres in length and four centimetres in its external diameter. The small wide-mouthed flask e is nearly filled with small, pea-sized pieces of pumice-stone saturated with concentrated sulphuric acid. This serves to arrest the organic matter in any air that might accidentally enter from this side of the apparatus. The U-shaped condenser rests in a square glass dish d, 20 x 8 x 8 centimetres in its external dimensions, containing cracked ice. Fig. 2. — Apparatus to condense moisture from the expired breath. In order to adapt the mouth-piece of this apparatus to the fistulous opening in the throat of the man that had had his larynx removed, the proximal end of the mouth-piece was attached to a porcelain mouth-piece used for speaking-tubes. This was padded with several layers of cheese cloth, and the loose end of this lied around his neck to hold it in position. In this manner he was able to exhale through the apparatus without any difficulty. Some of the condensed fluid was collected from my own breath and that of other healthy persons ; other portions were collected from a man having a permanent fistulous opening in his throat through which he breatlied ; there being no connection whatever with the mouth and upper air passages. Some fluid was also collected from the breath of a man suffering from advanced tuberculaT disease of the lungs. The amount of free and albuminoid ammonia in this condensed fluid, as estimated according to the well-known method of Wanklyn, Chapman, and Smith, is shown in Table B, together with the amount of fluid used in each of these determinations and the time required to collect these portions of fluid. A definite portion of the fluid was diluted with 500 c. c. of twice distilled water, 36 THE COMPOSITION OF EXPIRED AIR, and the ammonia in a like quantity of the same water was determined simultaneously and deducted from the amount found in the diluted fluid. The minute quantities of ammonia found in the fluid in some of these determinations required the greatest care in manipulation to avoid all sources of contamination — in the collection of the fluid as well as subsequently in the distillation and nesslerization. Tlie greatest care had to be exercised, therefore, in cleansing all ajiparatus used, and in the preparation of the different reagents. The fluid for the first seven determinations was collected from my own breath, and, for the next thirteen determinations, from the breath of the man with the tracheal fistula. The remainder of the determinations were made on the fluids collected from the breath of the consumptive. Table B. determination of free and albuminoid ammonia in condensed fluid of respiration. Grams per lire of fluid. Time and amt. collected. No. Amount of fluid used. Date. Remarks. Free NH3. Alb. NHs. Minutes. c. c. of fluid. 1893. I 5 c. c. .0198 .005 60 10 Dec. IS My own breath. 2 S .031 .004 ss 10 " 20 3 S " .0314 .0038 it it t( 4 S " .0026 .0162 60 12 " 28 (( U a 5 5 " .0028 .016 1894. a n a 6 4 " •0245 .004 55 8.S Jan. I u n 7 4 " .022 Defective. 8 5 " .0004 .0002 " 16 Mr. Rickey's breath. 9 5 " .0006 .0002 (Tracheal fistula.) 10 5 " .0003 .0002 " 19 (f a 1 1 5 .0003 .0002 12 5 ' .0004 .0006 " 22 13 5 " * Failure. * Failure. a (( 14 5 .0005 .0005 " 25 i< 15 5 " .0006 .0006 (< i( 16 5 " .0004 .0005 " 26 (( a 17 5 ' .0004 .0005 18 10 .0007 .0005 r, '9 " 19 10 " .0006 .0002 " 30 u t( 20 21-5" .0003 .OOOI Feb. I 1895- f( (( 21 IS " .005S .0003 6S 15 Jan. 18 Consumptive person. 22 12 " .0034 .0005 60 12.5 Feb. 7 a li 23 IS " .0023 •o°33 120 20 " 13 (( li 24 10 " .0005 .009s 120 16 " 19 a a The amount of organic matters present in the condensed fluid, as shown by its reducing power upon solution of permanganate of potash, is represented in Table C, the results being calculated to Mg. of O. consumed to one litre of the condensed fluid. The table also shows the amount of fluid used in each of the determinations and the time required to collect such amount. In three of the experiments the amount of air expired is also given. These determinations were made according to the methods now in common use for the determination of organic matter in water as modified by Kubel ; the fluid being diluted with a definite amount of distilled water, the reducing power on permanganate of which was simultaneously determined and deduced from the results obtained. The ebullition of the fluid was always carefully timed — the time being five minutes. * Merely a trace found. AND ITS EFFECTS UPON ANIMAL LIFE. Table C. determination of oxidizable matter in condensed moisture of respiration. 37 Time and amount :ollected. Mgm. of Amount No. Date. Amount used c.c. 0. con- sumed to of air expired. Remarks. Hours. c.c. of fluid. I litre. Litres. 1894. 1 Jan. 3' I 35 3.5 ' 8°i I). Tlickey's breath (tracheal fistula). 2 it 31 I 4 4 TI.68 (i .( It 3 (( 3' 1 3 3 9345S It tt tt tt 4 4< 31 I '•5 1.5 1 24.916 tt tt tt It 5 Sept. 6 3 35 25 12.04 982.5 My own breath. 6 ** 12 I 12 10 8.89 333-3 tt tt It 7 (( 17 35 min. 8 8 11.25 176 Dr. Gillespie's breath. '895- 8 Jan. 26 7-5 7 6.86 Consumptive's " 9 it 29 20 (t 4 75 4-75! 1830 Four hours after last meal.* lO (( 29 20 tt 4-25 4.25 2.27 Half hour " " " II it 30 15 i( 4 4 Failure. Three and a half hours after last meal. 12 it 3° 15 tt 4 4 Failure. Half hour after last meal. 13 (< 3> 16 16 i 19.32 Consumptive's breath. «4 n 3" '5 tt 3-75 3-75 '0-40 Four hours after last meal. IS tt 31 15 tt 3-75 3-75 2.60 Half hour " " " i6 Feb. I 15 i( 4-5 4-5 757 Three and a half hours after last meal. 17 ** I 10 ti 3 3 8-1° Half hour after last meal. i8 If 2 15 tt 3-8 3.8 10.105 Three hours " " " '9 U 2 »5 i( 3-5 3-5 15485 Half hour " " " 20 <( 2 60 '* 9-75 9-75 7-5° Consumptive's breath. 21 (< 4 15 tt 4 4 10.90 Four hours after last meal. 22 a 4 '5 ^i ^^^^=iii^ © =ca=d , c ^_ h ^ffi -M Q^^ L Hi d Fig. 4. — Apparatus used to condense moisture from the air of llie Hospital Ward. With this apparatus a small amount of fluid was collected on days when the atmosphere was saturated with moisture, but if this fluid was allowed to remain in the receptacle during several days of clear weather it slowly evaporated. However, enough fluid was collected in this manner to make several determinations of the free and albuminoid ammonia in it. The results thus obtained are shown in Table 1) ; the first and third experiments showing results obtained without placing a dust filter of asbestos before the condenser. The second and fourth experiments show the results obtained by attaching such a dust filter. T.vulf. D. determination of free and albuminoid ammonia in the moisture condensed from the air of the hospital ward. No. Date. Time. Litres of air Amt. of moisture Grms. per loco cbm. air. No. of bacteria per c. c. of fluid. Remarks. aspirated. condensed. Free NHj. Alb. NHj. I 2 3 4 1894 Dec. 13 1895 Jan. 9 " 18 Mch. 4 Hours. 43^ 4ii 34i- 33 4612.9 39903 1669.7 1980.0 3. c.c. 7. " 3- " 2.6 " 0.0210 0.00075 0.0012 0.0015 0.0028 0.00125 0.0015 O.OOIO 3'4° 1331 No dust filter. Dust filter. No dust filter. Dust filter. Microscopic examination of the fluid condensed from the air of the hospital ward showed : a number of small amorphous particles — black, yellow, and colorless ; a few small crystals, a few epithelial scales, small bits of vegetable fibre, and a few bacteria. Cultures made from this fluid showed numerous colonies of moulds, numerous common air and water organisms, some of which rapidly liquefied the gelatin of the cultures. B. pyocyanus was found in one instance, in others a yellow sarcina, and yeasts of different colors. Besides these a 40 THE COMPOSITION OF EXPIRED AIR, bacillus belonging, apparently, to the B. coli group was found in most of the cultures ; in one instance this bacillus was present in very large numbers and excluded nearly all the other forms. It was also noted in the gelatin plates exposed in the ward, and in the ctdtures from dust collected near the ajiparatus. On several occasions the dust which had collected on the meter and mantel during the night was taken up on a sterilized cotton swab and inoculated upon gelatin plates. The cultures in these plates did not differ greatly from those made from the fluid, except that the moulds were present in larger proportion than the other organisms noted in the cultures from the fluid. Gelatin plates exposed to the air of the ward showed the same character of organisms as in the cultures from the condensed fluid and those which developed from the dust collected in the vicinity of the apparatus. In addition to the species already noted, colonies of staphylococcus aureus and albus were also noted in these plates. The small amount of fluid collected from the air of the hospital ward in the manner stated, and the rapidity with which it evaporated on clear days, made it impossible to collect a sufficient quantity to inoculate it into animals. To overcome this difficulty a small quantity of sterilized glycerine (7.5 to 10 c. c.) was aspirated through the condensers after it had been cleansed. It is doubtful, however, whether this served to withdraw an appreciable amount of moisture from the air. After aspirating air through the apparatus for several days it was brought to the laboratory and the fluid in the receptacle transferred to a small sterilized flask. The condenser was then washed out by aspirating 8 to 10 c. c. of twice distilled water (sterilized) through it. This was added to the fluid poured from the receptacle, thoroughly mixed with it, and inoculated into animals. The glycerine in this fluid inoculated into the animals was diluted at least 50 per cent. Three sets of animals were inoculated and each time a control animal was inoculated with equal parts of glycerine and distilled water that had been sterilized for one hour. The results of these experiments are shown in Table E. Table E. collection of bacteria, etc., from the atmosphere of the hospital ward, using glycerine in the absorption apparatus. No. D.ite Time. 1894. Hours. I Dec. 5 47^ 2 " II 1895. 69I 3 Jan. I 47i 4 " 3 44f 5 " S S^h Litres of air Aspirated. i333«.8 7754-2 7669.3 4924.2 Amt. of glycerine used. Weight of rabbit and amt. of fluid injected. Weight. c. c. Weight. c. c. Weight, (control animal.) c.c. Grams. Grams. Grams. 10 c. c. 10 " ' 7.5" If 3°5° 2205 1970 6 6 6 1 130 2350 1280 2 6 6 1025 2205 1400 2 6 6 No. of bacteria in dilute fluid, per c. c. 900 45° 267s 1893 1646 The animals inoculated with the products collected from the air of the hospital ward in the manner stated were under observation for two months. Three of these animals died during the time they were under observation. The control animal of the third series died after twelve days. This animal was observed to be in] poor health for several days before its death. On examination, Jwsi mortem, it was found to have had a good-sized abscess in the right axillary fossa, which had ruptured externally : The liver presented numerous whitish bands and foci on all of its surfaces and throughout the matrix. .\ number of echinococcus cysts were found adherent to the liver, spleen, and the omentum. The kidneys were normal in size and appearance, and the capsule was easily removed. The other organs appeared normal. Cultures v/ere taken from the abscess, blood, lungs, liver, spleen, and kidneys. Those from the site of the abscess were the only ones developing any growth. The prevailing organisms in the cultures from the abscess were staphylococcus albus and aureus. AND ITS EFFECTS UPON ANIMAL LIFE. 41 Cover-slip preparations were made from the abscess, blood, lungs, liver, spleen, and kidney. Those from the site of the abscess were the only ones showing any organisms ; nimierous cocci, with a few bacilli, were observed. Microscopic examination of the organs hardened in alcohol and mounted in celloidin : The liver presented some increase of connective-tissue elements between the lobules. The whitish bands on the surface of the organ, noted at the autopsy, were found to be due to this increase in connective-tissue elements in the inter-lobular spaces. No change was noticed in tlie liver cells themselves. All the other organs were found to be normal. The nature of the substances inoculated into this control animal (6 c. c. of equal parts of steril- ized glycerine and distilled water) and the antiseptic precautions observed in the inoculation make it doubtful whether the source of infection is traceable to the e-xperiment. The changes noted in the liver are of such a nature as to indicate their production by causes preceding even those which brought about the death of the animal. Rabbit No. 2 of the first series, having received 2 c. c. of the fluid obtained by aspirating the air of the hospital ward through the condensing apparatus moistened with sterilized glycerine, died after 35 days. Autopsy: Half-grown rabbit, poorly nourished, and adipose all used up, presented nothing important externally. Internally : A small amount of clear fluid in the abdomi- nal cavity ; the liver is somewhat darker than normal, mottled, and contains a few psorosperms. Spleen is normal. Kidneys and adrenals are normal in appearance. The right lung is considerably congested, being readily torn ; the left is also slightly congested. The right side of the heart is filled with dark fluid blood ; the left side is nearly empty. Several echinococcus cysts were found in the abdominal cavity. Cover-slip preparations were made from the alidominal fluid, the kidneys, liver, spleen, lung, and blood ; all proved negative. The organs were preserved in alcohol and mounted in celloidin for microscopic examination. Microscopic examination of the organs : Left lung showed the capillaries and larger vessels very much dilated and filled with blood. Infiltration of leucocytes was noted here and there. Right lung showed marked proliferation of cells and infiltration of leucocytes. Many of the air cells were obliterated. The liver, kidneys, and spleen were normal. Rabbit No. i of the second series, inoculated with the fluid obtained from the air of the hospital ward, died after 38 days. Autopsy : Full-grown rabbit, shows numerous bruises and lacerations of the skin over various parts of the body. Many of the wounds along the sides and back show ecchymoses under the skin. .Adipose not all used up. Internally : Liver slightly darker and some- what larger, apparently, than normal. Spleen is larger than normal. Kidneys embedded in fat, normal in appearance. Lungs and heart normal. Blood is dark and fluid. Cover-slips were made from all the organs with negative results. The organs were preserved in alcohol and mounted in celloidin for microscopic examination. Microscopic examination of the organs : No abnormalities could be found in any of the organs ; all appearing to be normal. The remaining rabbits of these series showed no symptoms of any deleterious influence from the fluid inoculated. No swelling or formation of abscess was noted in any of them. Rabbit No. 2 of the first series evidently died of lung disease, as shown aX post mortem. As to the causation of this disease, it is impossible to venture an opinion. Rabbit No. i of the second series died of causes which left apparently no manifestations pointing to their nature.* Rabbit No. 3 (control) of the third series evidently died from the effects of the extensive axillary abscess. As to the source of the infection, no decided opinion can be given. Probably the infection gained an entrance through the inoculation wound. Some experiments were made to determine the amount of oxidizable inatter in atmospheric air. At first a measured amount of air was slowly aspirated through twice distilled water, and the amount of oxidizable matter extracted from the air estimated according to the method used for determin- •Dcith may have resulted from injury, as shown by the contusions and wounds noted at autopsy. These wounds were probably inflicted by other rjbbits in the same cage. 42 THE COMPOSITION OF EXPIRED AIR, ing the oxidizable matters in the condensed Ihiid of respiration. In the later experiments the air was conducted through two flasks — the first containing loo c. c. of a i per cent, solution of sulphuric acid, the second loo c. c. of a i per cent, solution of potassium hydroxide. After aspirating a jneasured amount of air through these solutions, 50 c. c. of each were mixed together and the amount of oxidizable matter determined as in the earlier experiments. The results are shown in Table F. Tadi-e F. determinations of oxidizable organic matters in atmospheric air. No. Absorbent used. Amount used c. c. Litres of air aspirated. Time of aspiration. 0. consumed to 1000 b. ni. of air. Date. KemarlS° 369 20A .013 Sept. 6 (1 (1 12 it (( 100 900 5° .204 " 8 it ii 13 (( 11 ISO 360 24 Failure " n i( it 14 a a iS° 360 20 Failure " 12 (( 11 IS j if, solution HoSOi ( ifo " K H 100 100 1000 22 ■558 " 18 External (( 16 t( (( 100 100 911.25 20 .086 Oct. 2 (( 11 17 (I 11 100 TOO 690.5 20 .068 " 3 It il 18 1< (( 100 100 433 20 .062 " 4 " tt 11 a 100 " 6 li n 19 100 447 22 .007 Theseexperiments were made at a season of the year when the windows of the laboratory were open most of the time and the amount of dust floating in the laboratory air must have been about equal to that in the external air. The method em|)loyed to obtain the oxidizable matter from the external air is preferable to that employed for the laboratory air, and, since equal portions of the solutions used neutralize each other, they have no objectionable influence upon the process of determination of the oxidizable matter. In several instances a portion of the water, containing the oxidizable matter extracted from the air, was treated with AgNOj, HgCU, AuCl.,, PtCl^, K^FeCyc, K^FejCyia, KHO, Ba(H0)2, HjS04, I, and with phosphomolybdic acid, am. molybdate, but no reaction was obtained with any of these, either in hot or cold solution. Nessler's reagent gave a deep yellow color, and HgCU with KI produced a lemon-colored precipitate, rapidly changing to red, with deposit of HgU. IV. — Experiments on mice and birds confined in glass jars, by the method used by Hammond (10). The exact conditions under which Hammond conducted his experiment are not given in his treatise, and the size of the jar he used is uncertain. Taking the relative sizes of the animal, jar, and the other parts of the apparatus shown in the accompanying figure, it seems probable that he used a jar of at least four litres' capacity. In the apparatus used for our experiments, two- and four- *By "Failure" is meant that merely a trace of organic matter was found. AND ITS EFFECTS UPON ANIMAL LIFE. 43 litre jars were used. 'I'lie arrangements for the absorption of moisture, COj, and for the intro- duction of fresh air, were the exact counterparts of these arrangements in Hammond's apparatus, judging from his description and engraving. Fresh air was supplied at intervals of one-half to one hour. This was accomplished by attaching a graduated aspirator to the Geissler potash bulbs containing the Ba(HO)o solution. Tiie results obtained in these experi- ments are shown in Table G. Hammond claims that in his experiments a mouse in- variably died within one hour. In our ex- periments all the animals lived over three hours, and some even longer than six hours. The great difference in the duration of life for different animals may be accounted for in the varying susceptibility of different animals of the same species to the almos- l)hcric conditions in the jar, but the still greater difference in the duration of life in our experiments, as compared with Ham- j. 1. ^1 »^ -L ^ J ^ ¥lG. 5. — Hammond's apparatus. mond s results, cannot be attributed to ^^ the same cause, and, since it is not known positively what the ca])acity of the jars was which he used it would be useless to speculate on the point. Fig. 5 shows Hammond's apparatus as given in his treatise (Fig. lo, p. 170), and is an accurate representation of the apparatus used by us, except that it does not show the graduated aspirator connected wuth the free end of the Geissler potash bulbs, by means of which a known amount of fresh air was introduced at stated intervals during the experiment. Table G. the " hammond experiment.' K.\am. of air. Date. Capacity of the jar. Amt. of air aspirated. Time. Aniii.al. Weight. Remarks. CO.. 0. 1893- H'rs. Grms. ^ ^ I Dec. IS 4000 c. c. 250 C. C. .S Sparrow. 20 Alive ; revived. 2 " 16 185 '' s+ 20 ii (( 3 " 18 (( t( 600 " 6 Mouse. 14 tt (( 4 " 19 it (( 600 " 6 u 15 It tt 5 " 20 2000 " 300 " 6 t( f4 tt tt 6 " 20 300 " 6 tt 15 1 7 " 21 4000 *' 225 " ■S Sparrow. 26 " ( - Same animal. 8 " 22 1894. 225 " s 26 " 9 Feb. 9 300 " 3 tt Died. 10 ;; 9 u u 35° " 4 II " 10 400 " 3i- tt It 12 " lO 400 " ^i it II J3 " 12 «l tt 500 " si ti II 14 " 12 35° '' 3f (( II i.S Mch. 6 55° 6A ii 23 13.80 S.61 16 " 6 550 4* 23 13-75 S.60 it 17 " 7 250 Si 21 1304 4-7.S 18 ' 7 =5° ' SA 21 12.50 4-87S >9 ; 9 25° " 4i 25 12.79 5-59 U 20 9 '* " 350 " t^i " 21 12.27 , 3-94 21 " 10 '* " 200 " 4.t '* 25 14.08 3-74 22 " 10 200 " 4i 22 13-69 i 3-25 44 THE COMPOSITION^OF EXPIRED AIR, The determinations of tlie proportions of CO, and of O in the air of the jar at the end of the experiments were made with the Bunte gas burette represented in Fig. 6. For rapid determinations this apparatus gives quite satisfactory results, and one soon learns to manage it easily and obtain results concordant witli those obtained by other methods. It is not claimed that the results so obtained arc absolutely accurate, but any error resulting from the use of this burette is a constant one in all the air analyses for the different experiments reported on, and is without influence on the results obtained. a represents the burette proper ; the upper portion is of larger size than the lower, which is marked with a scale extending from zero near the bottom to loo c. c. just below the expanded por- tion above, and from the zero mark down to lo c. c. near the lower extremity of the tube. The capacity from the loo c. c. mark to the three- way stop-cock, b, closing its upper end, is 50 c. c. — making the entire ca- pacity of the tube 160 c. c. The lower end is closed by'means of a simple glass stopcock, c. e represents a small cup at the top with marks at 20 and . 25 c. c. respectively, thus facilitating the measurement of the contained volume of gas at a constant pressure of known amount of water in the cup. /represents an iron stand to which the burette is firmly clamped. (/ represents a glass tube of wider calibre surrounding the burette, filled with water and serving as a water-jacket to prevent rapid changes in temperature of the gases under examination. METHOD OF USING BUNTE'S GAS BURETTE. d f The burette is filled with water and the three-way stopcock closing its upper end is so turned as to communicate through it with the external air, or with the vessel containing the air to be analyzed, by means of a short piece of rubber tubing connecting this stopcock with such vessel. By opening the stopcock, closing its lower end, some of the water, say 150 c. c, is allowed to flow out, and the air or gas to be analyzed flows in to take its place. When the desired amount of the sample of air has been taken, the lower stopcock is quickly closed and the three-way stopcock is turned half-way round, thus bringing it in communication with the small cup at the top, which should also be filled with water to its 25 c. c. mark. The pressure of the contained air is now equalized and the communication with the cup is closed. A few drops of water always lodge just below the upper stopcock ; these must be dislodged by gently tapping the iron stand r II — \ on the floor. In a few minutes the volume of air may be read off. The \ 'X burette is then connected at its lower end with a Chapman water pump and W^^a^^H^HM^^ a portion of the water in it is drawn off. The water in the cup is then poured out and about 10 c. c. of a 40 per cent, solution of sodium or potassium hy- droxide poured into it, and in turning the stopcock, this flows in to take the place of the water just removed. The fluid and air in the burette are now gently agitated, at intervals, for five minutes, the cup is again filled with water to the 25 c. c. mark, the stop-cock again opened, and the pressure of the gas equalized. If any of the water flows into the burette more must be poured into the cup to retain the gas under the original pressure of 25 c. c. of water in the cup. This part of the operation requires some care and practice in order to prevent the escape of any of the contents of the burette or the entrance of external air. When the pressure is again equalized the volume of gas is again read oft", the reduction in volume representing the amount of COo absorbed, this is readily calculated to the per cent, of the original volume of gas. The burette is now once more attached to the Chapman water pump to remove a portion of the fluid in the burette. About 10 c. c. of a 12 per cent, solution of pyrogallic acid is poured into the cup and allowed to flow in. The fluid and gas are gently agitated, at intervals, during five minutes, the pressure equalized as before, the volume of gas read off, and the calculations for O. made as before. In most instances N. is the only gas remaining. Fig. 6. — Bunte's Gas Burette (Xi'n). AND ITS EFFECTS UPON ANIMAL LIFE. 45 From the determinations of the proportions of COo and of O. in the air of the jar, after death of the animal, in the Hammond experiments, it is evident that two factors were operative in killing it. These were the low percentage of O. present and the high percentage of COj, which the arrangements instituted for the absorption of this gas had failed to remove. In a short time the e.\terior of the sponges became coated with BaCOj while the Ba(HO)o in the interior became inoperative. This can be demonstrated by determining the alkalinity of the fluid expressed from the sponges, at the end of the experiment, with solution of oxalic acid. Another fact which substantiates such a conclusion is that of the clouding of the Ba(H0)5 in the Geissler potash bulbs ipiito early in the experiment from the COj in the air aspirated from the jar in sujjplying fresh air. While the solution of Ba(HO)3 used in the sponges was twice the strength of that usually employed in COj determinations in the Pettenkofer fliask method, the amount of solution which can be taken up by the sponges of the size used (about lo c. c. each) is entirely too small to absorb more than a fractional part of the COo generated by an animal during the lime of an experiment. The mode of death in these experiments presented such a close similarity to that noted in cases of COo poisoning, under other circumstances, that it was impossible to distinguish it from death produced by that gas. Judging from the air analyses at death of the animals, from the con- stancy of the symptoms and the close similarity of the gaseous contents of the jars at death of the animals, and, besides these, the absence of any positive indications of the presence and action of other poisonous expiratory products as manifested either by the action of the animals or the mode in which death took place, it is safe to conclude that the low percentage of O, together with the high percentage of COj, in the atmosphere of the jars, were the principal causes of death. 'I'he mode of death differed in no particular from that noted in the case of animals dying in the closed vessels, in the " Brown-Secjuard " experiments, or in those made with artificial gaseous mixtures where sufficient oxygen was present to support life for several hours. Another fact, observed like- wise in all the other forms of experiment reported on, was the prompt revival of the animals when removed from the jars and sup[)lied with fresh air. In exceptional cases, where the animal was not removed until death was certain to take place in a very short time, the revival of the animal did not follow on removal from the jar, but death sujjervened at a shorter or longer period after removal. The failure of these animals to revive might be attributed to the presence of ante-mortem clots within the heart cavities produced by the long-continued respiration of such high percentages of Coj as existed in the atmosphere of the jars in this and the other experiments. The prompt revival of the animals removed from the jars a little earlier appears to be an additional indication that the symptoms produced in these experiments had been due to the relative proportions of O and COj present in the atmosphere which the animals breathed. The effects of an organic volatile poison would not allow such rapid recovery, and would most probably manifest itself by continued ill-health on the part of the animals subjected to it. Some animals vitiated the contained air more rapidly than others, so that, while there is a close relation between the composition of the atmosphere at the end of the experiments, it is evident that the degree of respiratory interchange determined the duration of life for each individual. The room temperature for these experiments was very nearly constant — 18° to 25° C. A further attempt was made by modifying the apparatus. This modification is shown in Fig. 7. Here the COj is absorbed by passing the air, issuing from the bell-jar containing the animal, through five Pettenkofer absorption tubes, each containing 100 c. c. of a strong solution of Ba(HO), [10 g. Ba(HO)» -f SHjO to i L.]. In addition to this, the air is passed through two Pettenkofer tubes, each containing 100 c. c. of Buchner's alkaline pyrogallate solution, to remove some of the O from the air. The moisture is absorbed by CaClj placed in a shallow vessel, covered with a perforated porcelain plate, in the bottom of the bell-jar. DESCRIPTION OF THE Al'I'.^R.VTUS USEU IN THE MODIFIED " HAMMOND" EXPERIMENT, FIG. 7. a represents a one-litre bell-jar resting on a ground-glass plate, and contains a shallow vessel with CaClj. The vessel containing the CaClj is covered with a perforated porcelain plate on which the mouse under experiment is placed. 46 THE COMPOSITION (JK KXl'IRKD AIR, b b are the two aspirating flasks, of four litres' caijatity, partially filled with saturated salt solu- tion. By reversing their positions these aspirators give a continuous current of air. The rubber cork closing the top of these flasks carries two glass tubes with glass stopcocks, and the apparatus is so constructed as to maintain the air current in the same direction by closing one, and opening the other, of these glass stopcocks when the flasks are reversed in their positions. l"he Pettenkofer tubes containing the Ba(HO)2 are attached to the stative c, and those con- taining the pyrogallate solution to the stative li. e represents a stopcock in the tubing connecting the aspirators. This serves to control or arrest the aspiration. Fig. 7. — Modified Hammond Apparatus (devised by Abliott). The results obtained with this modification of the apparatus are shown in Table H. The same animal was used in each of the six different experiments performed, and it failed to succumb to the conditions present in any of them. In the later experiments, in which the animal was placed in a one-litre bell-jar, it failed to reduce the proportion of O in the volume of air within the apparatus (about six litres) to such an extent as to endanger its life, even with the additional reduction of O taking place in the two Pettenkofer tubes containing Buchner's solution of alkaline pyrogallate. The percentage of CO., remained quite low through the absorption by the Ba(HO)2 in the five Pettenkofer tubes. The construction of the apparatus permitted the continuous circulation of the air within the apparatus so that the animal was constantly breathing air that had been breathed and Table H. modified " hammond " experiment. Examination No. Date. Animal. Weight. Aspiration- Number of absorbers. Capacity Time. of air. Remarks. CO,. 0. 1894 Grams. Hours. f« ^ 1 Oct. 24 White mouse. 23 Continu- ous. 5Ba(HO)2 tubes. 4000 c.c. 7i Mouse quite sick. 2 " 2S " ti (( n (( i( 81 (( (( n ^ " 26 ^^ it ** li 1000 c. c. 6 U 11 11 4 " 27 11 i( i( J5Ba(HO)2 ( 2 Pyro. (( (I 4l ■33 9-44 Previous aspiration 2 hours. S " 31 (( (( ti li 7 — I8-3S Previous aspiration 12 hours. 6 Nov. 3 11 (( n ii i( (( 61- Previous aspiration 10 hours. AND ITS EFFECTS UPON ANIMAL LIFE. 47 rebreathed before. The direttion of the air current through the apparatus is shown by the position of the arrows in the figure. Ky changing the position of the as|)irating flasks, and turning the stop- cocks in the glass tubing inserted through the stoppers closing the upper openings of the aspirators, the current was maintained in the same direction as before, and the entrance of external air was thereby prevented. The results obtained show that, with the absorption of the COo as generated, the mouse re- mained relatively comfortable in the atmosphere present and that no deleterious effects developed from the continued rebreathing of the air confined within the apparatus. The animal seemed to be somewhat oppressed toward the close of each experiment, but revived quickly after removal from the apparatus. The air contained in the two aspirating flasks was retained each time in the later experiments. Consecpiently in these exiierinients the fresh air-supply comprised only that which was enclosed in the Pettenkofer tubes, the rubber connecting tubes, and in the bell-jar containing the animal. In several of the later experiments the volume of air within the apparatus was aspirated continuously through all its parts for some hours before beginning the experiment. In this manner the pure air-supply was reduced to one litre, the amount of air in the bell-jar containing the animal. V. — Experiments to determine the proportions of COo and of O in the air of a glass vessel in which small animals (mice and birds) had remained until death was produced, and the effects of different temperatures upon the duration of life and on the composition of the residual atmosphere after death in such cases. The results obtained in these experiments are shown in Table I. .-Vt the room temperature death did not take place until the amount of oxygen present was too low to sujjport life. At a higher or lower temperature there was a slightly shorter duration of life, varying with the amount of increase or reduction of the temperature. T.\BLE I. EXPERIME.VTS WITH .^NI.MAI.S I-\ CLOSED VESSELS— ATMOSPHERIC AIR. No. I 2 3 4 5 6 7 8 9 lO II 12 '3 '4 »5 i6 Date. ] Capacity I of the jar. ■893 Nov. 27 1000 c. c. " 28 1 " 2000 Dec. 1000 " 14 1894 Jan. 26 " 27 " 30 2000 Feb. I " " 2 " 9 9 " .7 •• 13 " 18 " 13 " 19 Mch.28 7000 c 20 "29 " 2. " 30 " 22 , " 3' " Tempera- ture. Hours. 29-5° c. 4 25- ° C. 3it 23.5° c. 5 23-5° C. 7i 8* 29. ° C. 3i 3°- ° C. 4 30.5° c. 4i 31. °c 4 31. °c. 4* 7-5° C. 7 5- "C. H 25.5° C. li 24. " C. 2 2A 27-5° c. 2j 27-5° C. 2i: 30. ° c. 9 29-5° c. 7i 11.5° c. 9J 12. ° C. H Exam. of air. Animal. Weight. CO,. 0. Mouse. Grains. i8i 13.818 ^ i8i 2 2|- 17.66 ti it tt III 19* 21 17.3° 13.12 12.00 8.60 tt ti II 21 12.00 8.60 tt 12.60 8.00 10.00 9.20 13.20 6.40 tt 11.90 7-50 Sparrow. 12-75 5.86 it 24 23 13.28 13-485 4.89 7-37 n 23 22 13.00 87-97 6.929 5-534 Remarks. Cold-water cloths applied to the outside of the jar at temperature of 11° C. 48 THE COMPOSTTION OF EXPIRED ATR, The effects of temperature upon the duration of Hfe in a confined si^ace (and even in the open air) are better shown in tlie repetition of Richardson's experiments (8), as presented in Table J. The results obtained in these experiments show that the duration of life is very perceptibly short- ened through the influence of a higher as well as of a lower temperature than i8° to 20°C. Table J. Richardson's" experiment. Exam. of air. No. Date. Animal. Weight. Capacity of jar. Tempera- ature. Atmos- phere. Time. Kemarlcs. COs 0. 1894. Grams. c. c. ^ ^ I Nov. 5 White mouse 22 600 48° c. Air. 5 min. 1.90 18.25 Died. 2 " 5 (( 22 (( 8.5" " *' 2^ hrs. 12.7 3-7 (( 3 5 a 2li " 0.0" " " t " ir.4 6.05 " 4 " 5 ti 2oi 16.2" " 3 " >3-'5 2.6 Flask plunged in hot S " 6 n 16 So.° " 16 min water — open at top. Same as in No. 4. 6 " 6 Gray mouse 20 1000 42.° " 3° " Remained alive. Same as in Nos. 4 7 " 6 i( 12 a S8.° " t( 21 " and 5. Died. Rapid current of air 8 " 6 White mouse. 600 48.° " 76.59 i 0. 7 " aspirated through the flask. 9 " 6 it 22 (( 19.5°" 2J.41 ^ N. 4|hrs. Same flask as No. 9. lO " 6 (( 90.8 -f, 0. 2omin. 22.36 39-44 Mouse introduced at death of No. 9. II " 9 it 16 ii ,9.° " 9.2 ^ N. 4ihrs. Same flask as No. 11. 12 " 9 3- 15 " 10 White mouse. 18 u 5°-° " 9.2 % N. 3ihrs. i6 " 10 a 21 39.5°" 90.8 fo 0. ■^ " 1934 55-03 Afterdeathof No. 15 17 " 10 ii 16 (1 -4.5° " 9.2 % N. 54min. i8 " 10 n 22 '* -1.0° " 40 " 2493 60.65 AfterdeathofNo. 17 19 " '3 a 12 (( 18. " Air. 2.ihrs. 20 " 13 i( '3 u 18.^" I min. 14-47 4.07 Afterdeath of No. 19 21 " 13 (( 12 " -4.0° " Air. 55 " 22 " 13 13 (( -7.5°" 34" 10.76 7-45 Afterdeathof No. 21 An interesting condition noted in autopsies upon a number of the animals that succumbed to the conditions in the " Richardson " experiment was that of the blood in the heart of the animal. In the cases where death supervened in a short time, the heart blood was fluid and seemed to lack the power of coagulation, while in those cases in which death resulted after several hours' confine- ment in the flask, the cavities of the heart contained firm, dark clots of blood. This condition of the blood was, no doubt, due to the influence of the CO, generated by the animal during the experiment. AND ITS EFFECTS UPON ANIMAL LIFE. 49 CHART I. — Showing Relative Proportions of COj and of O, and the Relative Duration of Life in the Experiments in Closed Vessels. Key Represents relative per cent, of CO. at close of exp. X — X— " o" " . " " duration of life. I — o " " room temperature. / 2 3 *■ s b 7 a 9 /O II /a /3 1* IS 16 17 IS 19 2.0 Zl 2Z i)0 ■'S a.» fO '■> ^ _ u 3 ? 60 S }.5 o — 9 - ? 'so^ ZS 1 -^ \ i-y~ \ ^ -^' -^ \ - o i-0 Q 2aS "^ — Cr- \ / ' N>- \ 6 ?i 30 o" - « \ / \ - i 7 o 20^ - I- \ — 1 ■J. 5? \ , -J U^ — s - Q * : i 1 1 ; i i i ! 1 1 i \ i ;. 1 ; k A > i Chart I. shows the relative duration of life, the relative proportions of ("0„ and of O at death of the animal, in the experiments with animals in closed vessels containing atmospheric air. CII.XRT II. — Showing Relative DuR.vrioN of Life, Proportionsof N and O .at Beginning of Experiments, with the Temperature of the Atmospheres in the " Richardson " Experiments. Kcv — X— X— X Represents relative per cent, of X. ' O. duration of life, temperature in the flask. 1 2 3 «. 5 6 7 8 9 10 II IZ /J /f IS 16 /7 /a /5 20 Zl 22 ffC 70 1 1 1 I 1 1 1 M 60^ \ 2^ 7.^ ; A 1 ? n I' \ -3t - 1 \\ f 1/ i\ 1 Al \ i 1 i 1 h^ -30% i\ 1 ; \ / i \ ; "2 10'^ i / 1 Vi i y \ 1 ;^ 10 t. \ / 1 ; i — O— J- "^ -! /° \ . Y h A 'soot - Q. := ;\ f/ ; 1 I M y ^ \ , K - 'T 9 «: 10 - k 10 ; 1 i 1 1 t 1 ■• ■ i ' 1 ■ 1 : t ; 1 ! i Y . iU .-d. i 1 :^ --cf - =3 - - 1 } J «. i_i 1 i ; i il ; i '. j . u 1 i Chart II. shows the relative duration of life, the relative proportions of N and of O at the beginning of each of the " Richardson " experiments, also the temperature curve for the entire series. 50 THE COMPOSITION OF EXPIRED AIR, Tablk K. experiments with akjti'tcial atmospheres. Before experiment. After exper ment. KespiratAy Dale. Animal. Weight. Capacity Time of experi- Ouotient No. "cOj J 1. ?' « ment. % i 91 0. • COs. 0. N. CO,. 0. N. 1894. Grams. c.c. I April 30 Mouse. 2280 4.90 95-1° 30 sec. .02 4 4° 95.40 0.0045 2 " 30 " 84.00 16,00 1 1 J hrs. 20.00 58.73 16.91 °-3405 3 May 25 Rabbit. 1920 37,000 .04 20 7 79.26 51: " 14.87 4.09 81.04 3-6356 4 June 6 Guinea- pig- 473 40CO .04 20.7 79.26 'f " 15.26 4.29 80.45 3-5571 5 " 4 " 565 .68 5-39 93-93 43 min. 8.50 2.31 89,19 3-6796 6 May 5 Mouse. 2280 8397 16.03 13I hrs. 25.83 58.65 14.76 0.4404 7 ;: 5 " 83-97 16.03 i5i " 21.06 61.78 17.16 0.3408 8 " 2 1 18 11-35 88.65 3i " 6.56 4.14 89.30 1-5845 9 " 21 IS 11-35 88.65 4j- " 7-43 358 89.00 2-0754 lO " 21 (( 17 n 11-35 88.65 4^ " 7-52 3.16 89.22 2-3797 II 21 9-°5 9°-95 6f '' 5-41 3-34 91-25 1. 6197 12 " 21 H 9-°5 9°-95 loi " 4-51 2.84 92.65 1.5880 '3 " 2 1 1 1 9-05 9°-95 6f" " 5-17 2.87 91.96 1-8013 14 28 i6 8.23 9'-77 4 ." 4.18 2.52 93-3° 1.6587 '5 28 8 8.23 91.77 I min. •63 6.48 92.89 0.0972 i6 28 15 8.23 9'-77 si hrs. 3-85 2.54 94-6 T 1-5157 ■7 June I 22 4( 5-7° 94.3° 4 min. ■58 4.91 94-5' 0.1181 iS I 17 5-70 94-30 2 " •77 5-4° 93-83 0.1425 19 May 26 12 5-7° 94.3° 20 " 24 10 •58 5-40 94.°2 3 min. 21 " 24 8 -58 5-4° 94.02 2 " 22 " 24 8 -58 5-4° 94.02 2^" -79 5-75 93-46 0-1273 23 June I " 1 1 ** 12.03 21.61 66.36 si hrs. 18.91 24 I (( 10 li 12.03 21.61 66.36 8| " 21.02 25 April 29 " <1 13-1° 3-70 82.90 30 sec. 13-40 3.70 82.90 3.6216 26 May 10 14.65 22.00 63-35 7 hrs. 2465 11.40 64-95 2.1622 27 " 10 14-65 22.00 63.35 81 " 25.10 10,00 64.90 2.5100 28 " 10 14-65 22.00 63-35 8| " 28.30 7.40 64.30 3-8243 29 " 1 1 Rabbit. 1357 37,000 ri.28 19.64 6908 8.; " 19.16 4.27 75-57 4.4871 30 :: ^5 175° 22.40 22.30 55-3° 5" " • 20.19 4.80 75-01 4.2062 31 '5 Mouse. 2280 21.00 12.00 67.00 2 " 19.70 8.93 71-37 2.2060 32 ^5 " 21.00 12.00 67.00 2| " 20.00 8.41 7157 2.3781 33 . ^5 n 21. 00 12.00 67.00 5i ". 21.80 6.54 71.66 3-3333 34 4 21-95 16.65 61.40 52 min. 21.45 15.7° 6285 1.3662 35 " 4 21-95 16.65 61.40 2{ hrs. 23.15 12.815 6-3985 1.8064 36 " 4 21-95 16.65 6 1.40 4j\ " 22.60 11.43 65-87 1.9772 37 June 8 Rabbit. 1400 37,000 17.00 13-82 69.18 7i " 16.14 2.97 81.69 5-4343 38 " '■ 9 Guinea- pig- 478 4000 15.00 21 00 64.00 li " 16.07 2-77 81.96 5,8014 39 " II Gray rat. Full grown. 37,000 17.81 3-88 88.25 ~ *' " duration of life. after, the experiment. 1 2 s, 4- 5 6 7 5 9 /£? // IZ 13 /«• /5 /6 /7 IB 19 2^ 90 90 1 Z a. 2 r 1 ^ ? 70 P ■ X 7n 1^ X 1 ■I X 1 6 *: ^ to 1 % 1 I r ^0 i ■ ? so "^ i 1 I i" X 1 \ li 1 10 ^ +0 o ■ o i r X ■\ I 1 /e S 30 ° 30 / ■I 1 i /.I 'A \ \\ .1 1 1 1 /' r J /6 5 10 \ - 5 /O '^ \ — r / 1 \ \ I 1 1 18 )\ 1 X r \ 1 1 >■• I X 1 X X i 1 1 \4 ^_-i ¥ -1 I -4 -4 X :^ X ' r X \ X ^ 1 1 X PI ;•? u p-(^ P.S P6 ?i 2S Z9 30 SI 32 ^ 3'i- 35 56 37 ia 55 •i-O «/ 4-Z ■f3 ««• <-5 4-6 ^7 <-a 1 1 1 1 1 "T 1 1 i 1 r i_. ♦• w 1 ; 6 ? j 8 ? —r- 1 '"1:' 1 1 -J 1 1 1 1 ] -'-' > 1 -1 ._. ,_, l" -^^ 1 /' T"" 1 1 i^N ] ^ 1 1 1 ! , 1 ^ 1 1 1 O /6f 1 ' J \-^' \A 1 1 t 1 1 \ 1 i 1 1 i 1 1 h 1 I V\ 1 1 i-l 1 1- h n w 11 1 ! 11 \\ 1 /^ t i 1 J IM \ 1 1 i 1— t 1 t u h H H ii 1 1 1 \ w 1 ^ 1 1 1 il 1 >■ 1 1 1 X M |_i \ A Li il c 1 1 1 i s 1 X 1 1 X 1 i 1 -a 1 X -i r-x^ 1 X in L i The mode of death in these experiments, when sufficient O was present to support life for several hours, was similar to that noted in the " Hammond " experiments, in the experiments with atmospheric air in closed vessels, and in the " Brown-Sequard " experiments, and could not be dis- tinguished from death in CO, poisoning. When such an amount of O was not present, death was often almost instantaneous, following, at the longest, within five minutes after the animal was placed in the jar. After a few gasps and several violent struggles, life became extinct. A number of the animals used in this series of experiments were examined post mortem. The gross appearances presented in these animals were of the character of those found ordinarily in cases of COj poisoning. Intense venous engorgement was noted in all the organs and tissues. AND ITS EFFECTS UPON ANIMAL LIFE. 53 The heart invariably contained large, firm blood-clots, dark in color, extending from the auricles into the ventricles. This was usually most marked on the right side. Microscopic examination of the organs, hardened in alcohol and mounted in celloidin, pre- sented no other constant conditions than those brought about by the mode of death — the extensive venous engorgement. The very slight pathological changes noted in isolated cases, from the rapidity with which death ensued on exposure to the atmospheric conditions present, must be attributed to causes antedating the time of the experiment by a considerable period. The changes here referred to were mostly of the nature of interstitial changes present in the liver and kidneys- No trace of the poisonous effects of any other respiratory products was noted in any of the animals examined. The results obtained strengthened to a satisfactory degree the conclusions drawn from the results obtained in the other experiments reported on. It was shown that in the absence of a suffi- cient proportion of O in the artificial gaseous mixture to support life — at least 5 per cent. — the animal speedily succumbed. On the other hand, COj could be present in quite large proportions, as long as sufficient O was also present to support life for some time, and no untoward effects were manifested. The different animals used in these experiments — sparrows, rats, mice, guinea-pigs, and rabbits — manifested no distinct differences in susceptibility to the conditions present. VI. — Experiments in the inoculation of animals with the moisture condensed from the exhaled breath, as conducted by Brown-Sequard and d'Arsonval, by Hofmann-Wellenhoff, and others. Four series of animals were inoculated with the fluid as shown in Table 1.. Series I. — The fluid, clear, limpid in character and without odor, of which 21 c. c. had been collected from the breath of a healthy person on December 5, 1893, was warmed by holding the receptacle containing it in a vessel of warm water, about 35^ C. A rabbit, weighing 1870 g., received ij c. c. into the large vein at the margin of the ear. Another rabbit, weighing 1820 g., also received i| c c. in the same manner. A guinea-pig, weighing 220 g., received 4A c. c. into the peritoneal cavity. A second guinea-pig, weighing 280 g., also received 4i c. c. into the peri- toneal cavity. A third guinea-pig, weighing 220 g., received 4^ c. c. of sterilized distilled water into the peritoneal cavity as a control. These animals were kept under careful observation for more than a month, and as nothing unusual in their condition presented itself, they were released. Series II. — On January :8, 1894, 20 c. c. of the fluid had been condensed from the breath of the man having the tracheal fistula. The fluid was warmed by holding the receptacle containing it in a vessel of warm water, about 36° C. Of this fluid 5 c. c. were injected into the peritoneal cavity of each of three white rats ; a fourth rat receiving 5 c. c. of sterilized distilled water into the peritoneal cavity as a control experiment. inoculations with condensed fluid of expired breath. Table L. series I. No. Date. Animal. Weight. Amount of fluid injected. Remarks. I 2 3 4 5 '893 Dec. 5 It it it Rabbit Guinea-pig Grams. 1870 1820 220 280 220 if c.c. If " 44 " 4J " 4i " Under observation over a month. Healthy. (1 (( t. .( i* 11 It tt ti tt i( tt tt tt t( Control — inoculated with sterilized distilled water. 54 TFIE COMPOSITION OF EXPIRED AlU, 1894 I Jan. 18 White rat •95 5 ex. Still alive and heallhy. 2 (i 140 5 " Hied 9-6, 1894, from other causes. 3 It (( 148 5 " Still alive and healthy. Control— inoculated with sterilized distilled 4 it (t I 12 5 " water. SERIES III. I Feb. 2 Rabbit 1500 7^ c.c. Killed after 48 days. 2 i( ii 2150 10 " Still under observation. Healthy. 3 a (( 880 5 " Died after 28 days. Control^inoculated with sterilized distilled 4 (( (. 900 5 " water. SERIES IV. Mch. 30 Rabbit II6I 10 c.c 1400 10 " 1759 10 " '359 10 " Still under observation. Healthy. Killed 11-2, 1894. Healthy. Still under observation. Healthy. These animals were under close observation for several months without noting any alteration in their condition. One of them has since died (Sepf. 6, 1894) from other causes. The others continue well. Series IH. — On February i, 1894, 44 c.c. of the fluid had been collected from the e.xhalations of the man having the tracheal fistula. This fluid was again warmed, as before, to about 35° C. and injected into the peritoneal cavity of rabbits as follows : No. I. Weight, 1500 g,, 75 c.c. of fluid. No. 2. " 2150 g., ID. o c.c. " " No. 3. No. 4. S80 g., 5 o c.c. " " 900 g., 5,0 c.c. " sterilized distilled water. Rabbit No. 3 of this series died during the night of March 4, 1S94, and an autopsy held the next morning showed the following conditions* : Young female rabbit. Externally : Not very thin, adipose not quite used up. Internally : On opening the abdominal cavity the organs were found in normal position. Stomach and large intestines well tilled. Liver slightly enlarged, no spots ; shows lobular appearance well marked ; rather pale in color, as are all the organs and tissues (albino), (iall bladder well filled with pale bile. Small intestines moderately filled ; no change in their appearance ; Peyer's patches not enlarged. Appendix not inflamed. Spleen not enlarged. Kidneys normal in size. Adrenals small. Lungs normal, rather pale. Heart rather pale, contracted on left side, right side filled with blood. Cultures were taken from the liver, spleen, blood, and abdominal fluid and all proved negative. Microscopic examination of the organs : Kidney : Presents some blood-vessels which contain an increased amount of white blood corpuscles. Glomeruli are slightly swollen, showing a small * Autopsy made by Dr. Olmsted. AND ITS EFFECTS UPON ANIMAL LIFE. 55 amount of infiltration. Slight increase of connective tissue between the tubules. Large blood- vessels are very much dilated. Areas of slight extravasation. A certain amount of cloudy swell- ing. Liver — Shows large number of small areas of cell-death — necrotic areas. Breaking up of cells and fragmentation of the nuclei, which is almost identical with the conditions found in diphtheria. Adrenals — No change apparent. Spleen — No change apparent. I'he teased heart muscle, treated with acetic acid, shows possibly a trace of fatty degeneration. No "widespread ecchymosesand hemorrhages in the lungs and intestines " werefound, as reported by Brown-S^quard and d'Arsonval. On March 20, 1894, rabbit No. i of tliis series was killed in order to study the condition of its organs and compare the results with the conditions found in rabbit No. 3. Weight before death, 1830 g., gain 330 g. It seemed to be in perfect health. On opening the abdominal cavity the organs were found in normal position. No increase of peritoneal fluid. On the liver a number of points (psorosperms ?), one a depression 1 mm. in depth, grayish-white in appearance, were noted ; mostly on the left lobe. Several other small areas- whitish in appearance, sharply limited in their outline, smaller than the last, not distinctly depressed, usually two, three, or more together — were found scattered over the upper and lower surfaces of the liver. The liver is dark in color, lobules well marked out ; of about normal size and consistency. Cutiing into the liver there is the usual amount of hemorrhage. Spleen — Small, if anything, it is contracted, otherwise of normal appearance. Adrenals appear normal. Kidneys — Embedded in usual amount of fat Normal in size, color, and consistency. Small echinococcus cyst in the great omentum, and another in the liver. Intestines normal in appearance. Heart normal in appearance. Portion of muscle teased with salt solution and treated with acetic acid shows no fatty change. Lungs normal in appearance. Cultures were taken from the peritoneal fluid, liver, spleen, kidneys, and blood. All proved negative. Microscopic examination of the organs : Liver — Contains a small hemorrhage at the depressed part noted at autopsy. The other spots noted are found to be entirely superficial. Slight increase of connective-tissue elements. Engorgement of a capillary noted. Kidney — Nephritis manifested by some congestion of vessels, proliferation of the connective-tissue cells between the tubules and around the glomeruli ; an occasional glomerulus being quite contracted. Spleen shows an increased amount of pigment. The remaining rabbits of this series have continued well to the present time. Series IV. — On March 30, 1894, 45 c. c. of the condensed fluid had been collected from the breath of a healthy person. This was again warmed to 35° C, and injected into the peritoneal cavities of four rabbits, each receiving 10 c. c. of the fluid ; their weights were as follows : 1 161 g., "359 g. '400 g-, and »759 g- On November 2, 1894, the rabbits of this series having remained healthy, Nos. 2 and 3 were killed in order to study the condition of their organs, and determine whether they presented or- ganic lesions traceable to the fluid injected. They were in perfect health as far as might be judged from their a])pearances. On post-mortem examination all the organs in these animals were found to be normal. Nor was any abnormality to be noted in microscopic examination of the organs. The remaining animals of this series continue well to the present time. The pathological conditions noted in the cases of rabbits Nos. i and 3 of Series III., are not unusual in these animals, as they are very commonly found in normal animals reared in the labora- tory and in those purchased from dealers.* It is unsafe to infer, therefore, that any of the condi- tions noted in these animals were due to the action of the fluid injected. The sterility of the fluid injected into the animals in this series of experiments was tested each time by the inoculation of |)ortions of it into tubes of melted gelatin ; these were then hardened according to Esmarch's method. In two instances several colonies of a yellow bacillus, common to • This fact has also been noted by Dr. Abbott. His observations have not yet been published. 56 THE COMPOSITION OF EXPIRED AIR, the air of tlie laboratory, developed in the cultures. In the otlier instances tlie cultures remained sterile. The fluid used in these cultures was taken from the portions remaining after the animals were inoculated. This fact, in all probability, accounts for the contaminations noted. There is no evidence that any micro-organisms were carried over in the exhaled breath while collecting the fluids for the inoculations. The nature of the organisms which developed in these cultures indicates that they gained entrance to it while the fluid was being warmed and inoculated into the animals. VII. — Experiments causing animals to breathe air recently expired by other animals. 'I'hese experiments are designated as " lirown-Sequard " experiments. The apparatus used consists of a series of bell jars, four to six in number, connected together by means of glass and rubber tubing, and so arranged that a continuous current of air is conducted through the entire series. The apparatus is shown in Fig, 8. The first animal receives pure air only, the second Fig. 8. — Brown-Sequard apparatus. animal receives the air coming from the bell jar containing the first animal, the third that coming from the second, while the last animal receives air that has traversed the entire series, and, conse- quently, contains the impurities added to it in its course through all the other jars. THE " BROWN-SEQUARD " APPARATUS FIG. 8. The Nos. I, 2, 5, 6 represent four of the six bell jars in the series. a, represents the gas meter. i, represents a small Erlenmeyer flask containing about too c. c. of water. The bubbles pro- duced by the air passing through the water show whether aspiration is regular or not. c, rejiresents a Woulff bottle attached between the Erlenmeyer flask and pump to prevent the entrance of water into the apparatus when there is negative pressure in the apparatus. ^, represents the water tap. e, represents a Chapman water pump, which creates the suction and maintains the ventilation. The glass and rubber tubing connecting the different parts of the apparatus, as shown in the figure, has an internal diameter of nine mm., while that used to connect the seven-litre bell jars was only five mm. in its internal diameter. DESCRIPTION OF THE " liROWN-SEQUARD " APPARATUS^FIG. 8. The bell jars rest on large ground-glass plates, and, in order to produce an air-tight joint, the base of the bell jar is well rubbed with beef suet (well adapted for this purpose). In addition to this, the joint is sealed with melted paraffine. If this work is carefully done there is no possibility of leakage at these joints. The bell jars are connected together by means of glass tubing bent at right angles and inserted through a perforated rubber cork fitted into the openings near the top and bottom of the jar. The air enters the apparatus through the gas-metre. The metre is connected with the first jar by means of rubber tubing attached to the glass tube inserted into the upper opening of this jar. After passing through this jar it takes its exit by means of the glass tube inserted into the lower opening, and connected with a similar glass tube inserted into the upper opening of the second jar by means of a short piece of rubber tubing. It takes the same course through all the jars. The bell jars shown in the figure represent those used for the rabbits, and have a capacity of 37,000 c. c. A wooden box, four inches in depth and just large enough to allow the bell jar to be AND ITS EFFECTS UPON ANIMAL LIFE. 57 placed over it, was placed in each of these bell jars. These boxes contained fine dry sawdust to a depth of about five cm., thus forming a comfortable bed for the animals, and at the same time absorbing the urine. In the last experiment (No. 33) it was found necessary to change the saw- dust in these boxes every eight to twelve days. When the sawdust was changed each week the animals remained comfortable. The bell jars used for the mice, sparrows, and guinea pigs were exactly similar in construction to those represented in the figure, but only of 7000 c. c. capacity. For these animals a false bottom of wire netting was placed in the bell jars instead of the boxes with sawdust. This arrangement served to keep the mice and sparrows dry and comfortable, but was less satisfactory with the guinea pigs. For the mice and sparrows sufficient food and water were placed in the jar at the beginning to last to the close of the experiment. For the guinea-pigs and rabbits this was impossible ; these being fed daily on cabbage leaves introduced through one of the openings in the jars. By arresting the aspiration of air through the apparatus for a few minutes there was very little opportunity for any change to take place in the confined air while the animals were being fed. In order to facilitate the taking of samples of air from the bell jars, a T-tube was inserted between each of the last three jars. The nunte gas-burette was attached to the stem of one of these T-tubes and the air aspirated from the jar by the force of the water flowing out of the lower open- ing of the burette. By placing a screw clamp on the rubber connections on either side of the T-lube it was possible to take a sam|)le of air from the jar before or after it, as might be desired. By stopping the aspirating pump there was rarely any difficulty in taking a sample of air from any of the jars in the manner stated. On two or three occasions a slight negative pressure in the jar, caused by the small amount of ventilation taking place, prevented the aspiration of a sufficient amount of air (100 to 150 c.c.) to accomplish its analysis in the burette. Otherwise no trouble was experienced in the taking of samples of air as desired. The gas-burette was connected with the T-tubes by means of a short piece of rubber tubing attached to the stem of these tubes and ordi- narily closed with a sliort glass rod. The rubber tubing was attached to the three-way stopcock of the burette. The results in the ihirty-tliree experiments performed upon sparrows, mice, guinea i)igs, and rabbits are shown in the following tables. In these experiments, as well as in those previously reported, the disturbance of the heat-regu- lating function may have contributed to the results. Absorbers containing caustic soda or potash, or soda lime, were used in experiments 6 to 14 between the third and fourth, and the fourth and fifth jars of the series to absorb the COo from the air passing into the last two jars. This arrangement failed to save the lives of the animals in these two jars. In experiments 15, 18, and 19, an absorption-tube containing concentrated HjSOj was placed between the last two jars. The results obtained in these three experiments do not differ from those obtained without the H.SO., absorbers, and, therefore, give no evidence whatever of the protective influence claimed for such absorbers. The jirimary cause of death, low percentage of O, was still present and active. Experiments 20 to 28 were made with the hope of producing some slight tolerance to the atmospheric conditions present in these experiments on the part of an animal subjected to such conditions for a considerable time. While there is ])ositive evidence that a mouse living under these conditions for several days can withstand an atmosphere that instantly kills a fresh mouse, the number of experiments made are insufficient to prove that such tolerance has any great degree of permanency ; yet the results obtained with the mice carried through the series of experiments from 20 to 28 indicate the probability that the tolerance obtained is maintained for at least several days afterward, and that such animal is less likely to die when again quickly placed into such an atmosphere than one that had not had such an experience. The guinea-pigs used in experiment 30 seemed to be unable to withstand, with equal facility with the mice and sparrows, the atmosi)heric conditions to which they were subjected. Several of them succumbed to oedema of the lungs during the second week of the experiment, but since this 58 THE COMPOSITION OK EXl'IKKD AIR, is the only experiment in uhicli these animals were used, a positi\c opinion on this point cannot be given. The rabbits in experiment 31 were supiiosed, at the lime, to have succumbed to the oppressive heat of the laboratory owing to the season of the year, but the later experiments would indicate an insufficient amount of air was aspirated through the bell jars, and it is evident that leakage took place through some of the connections because of the irregular order in which death took place. The last experiment was made to determine what the results would be when the proportion of CO2 was kept as low as Brown-Sequard and d'Arsonval claim for their experiments. It was found impossible to aspirate sufficient air per hour to bring about this result. However, sufficient air was aspirated to prevent the reduction of the O to proportions that were insufficient to support life. By this means it was possible to continue the exjieriment for six weeks without losing any of the animals, or producing any grave symptoms in any of tliem. In this experiment mercurial manometers were attached between the first and second, and between the fifth and sixth bell jars to ascertain the amount of negative pressure, if any, brought about by the conditions or by the form and arrangement of the apparatus. A difference of about three milli- metres was noted b2tween the fifth and sixth bell jars, while no difference was noted between the first and second. It was also ascertained, by placing a clamp on the rubber tubing connecting the fifth and sixtli jars, and continuing the aspiration, that the amount of negative pressure required to break one of the glass plates on which the jars rested, as occurred in experiment 32, was 105 milli- metres. From this it may be inferred that at times a greater negative pressure existed than that noted in the last experiment. Such extreme negative ]jressure as was found necessary to break a glass plate 45 x 45 x 0.6 centim;tres could only occur upon the entire arrestation of the air-current from som; accident to the apparatus. Under ordinary circumstances we do not believe that the amount of negative pressure differed to any extent from that found in the last experiment. The proportions of CO, and of O present at the time of death bear a constant relation to each other in the different experiments. The duration of life in each instance was dependent entirely upon the rapidity of the air current circulating through the ap|iaratus. This statement, however, requires further explanation. If the average rate of ventilation per hour for an entire experiment is taken, it will be found to vary considerably in the different experiments. This is evident when it is stated that in experiment 7 the rate had been 9.8 litres per hour up to the time of the death of the animal in the third jar; in experiment 8 the rate had been 3.8 litres per hour at the death of the fifth animal ; in experiment 9 the rate had been 1 1.9 litres per hour at the death of No. 5 ; at the death of No. 3, in experiment 14, 10,2 litres per hour ; at the death of Nos. 3, 4, and 5, in experiment 15, 3.45 litres per hour ; at the death of Nos. 3, 4, and 5, in experiment t6, only 1.9 litres per hour ; at the death of No. 5, in experiment 19, 3.55 litres per hour. From these figures it will be seen that the average rate of ventilation per hour for an experiment is not the most important factor. By referring to the tables giving the details for each of the 33 experiments it will be noted that the rate of ventilation was frequently changed. It was usually increased con- siderably in the evening and again decreased the next morning Frequent changes in the rate during the day were also necessary, because it is practically impossible to get a perfectly steady current with the water pump. In carefully regulating the rale of ventilation, the lives of the animals were controlled at will, and it is upon the rapidity of the air-current toward the close of the experiment that the duration of life depended in each case. The rabbits used in the last " Brown-Sequard " experiment were weighed at the end of the experiment and their weight then as compared with their weight at the beginning of the experi- ment was as follows : No. I, before 820 g., after 1052 g., gain 232 g. 2. 900 g-> i°55 g-> 155 g- 3, " 917 g.- ' 4, " 1 1 25 g-, ' ■' 1190 g., '' 1047 g-, " 273 g. loss 78 g. 5, ' 6. ' 1220 g., ' 1665 g., " 1352 g; " 1544 g-, gain 132 g. loss 121 g. AND ITS EFFECTS UPON ANIMAL LIFE. 59 At the death of No. 4, six days after the close of the experiment, tlie loss in its weight was found to have been caused by the presence of psorosperms in its liver. This organ was literally filled with masses of these bodies. The loss of weight in No. 6, in the absence of any other observable causes, may be safely attributed to its position in the .series of bell jars, and, therefore, to the impurity of the atmosphere which it breathed. The estimations of the proportions of COj and of () present in this bell jar, as found from day to day, denote atinospheric conditions that were undoubtedly unfavorable to the full performance of its bodily functions. It ate less rave- nously than the other animals and was frequently in a stupid, drowsy condition. At lhe<:lose of this experiment an examination of the blood of these rabbits was also made and (he pro[)ortion of corpuscles per cubic millimetre determined with the Thoma-Zeiss hajmo- cytonieler, with the following results : No. I, 5,170,000 red, and 24,000 white per cubic mm. " 2. S.337,000 " " 2i,oco " " " " " 3, 4,510,000 " " 18,000 " 4, 4,150,000 " " 10,000 " ' " 5, 4,950.000 " " 15,000 " " " 6, 4,375,000 " " 16,000 " " Here again there is evidence that the conditions existing in these bell jars were injurious to some extent ; most so in the last jars. No. 4 ])resents evidence of an influence more serious in its nature than that presented by the other animals, and this has since been found to have originated from causes within its own body. Microcytes were noted in the blood of these animals. These imujature corpuscles setmed to be more numerous in Nos. 4, 2, and i ; the blood of the other animals presenting only a few of these bodies. Thirty-eight days after the termination of the experiment a second examination was made of the blood of the five remaining animals, with the following results : No. I, 4,4co,ooo red, and 20,000 white ])er cubic niin. " 2, 4,500,000 " " 15,000 " " " 3, 5,160,000 " " 30,000 " " " 5, 4,960,000 " " 30,coo " " 6, 5,890,000 " " 2O,G0O " " The first and second animals show a slight reduction and the third and sixth an increase in the number of corpuscles. No microcytes or blood-plates were noticed this time. The weight of these animals at the time of this second examination of the blood was as follows : No. I, 1040 g., lost 12 g., since close of experiment. " 2, ,045 g., " 10 g., " 3, 1265 g., gained 75 g., " " " " 5, 1405 g., " 53 g., " " " " 6, 1545 g., " I g., " " " The loss of weight in the first and second animals may be due to the change of food. The gain in the others is no doubt due to the better atmospheric conditions under which they are now living. GO THE COMPOSITION OF EXPIRED AIR, Post-mortem examinations of a number of tlie animals dying in the " Brown-Sequard " experi- ments were made with the greatest care. 'J'he organs were preserved in alcohol and mounted in celioidin for the microscopic examination. The gross appearances presented by the animals showed a constant similarity to the appearances noted in the animals used in the experiments with artificial gaseous mixtures. I'lie constant appearances noted were those of intense venous engorgement of all the organs and tissues. The heart cavities contained firm, dark clots of blood, filling both auricles and ventricles, those on the right side being usually much larger than those on the left. No inflammatory changes or serous exudates were found in any instance. Microscopic examination of the organs presented no constant feature aside from the manifesta- tions produced by the cause and mode of death. Engorgement of the blood vascular system was noted everywhere with usually some degree of infiltration in the lung. No degenerative changes were constantly present. Those found in isolated cases — such as a slight increase of connective- tissue elements between the tubules of the kidneys and about the glomeruli, and small areas of proliferation of connective-tissue elements in the liver — cannot be safely attributed to the experi- ment. This opinion is strengthened by the short duration of the experiments, and it is probable that the changes were due to ante-e.'cperimental causes. The mode of death as observed in these experiments presented certain constant features which were undislinguishable from those produced by slow asphyxia under other circumstances. There was a period of excitement, followed, in the course of time, by a period of progressive depression. The breathing, at first rapid, generally became slower, with perceptible lengthening of the respiratory pauses, accompanied at a later period by marked expiratory efforts. Along with these respiratory changes was usually noted a progressive muscular weakness gradually deepening into paralysis of the posterior members. The animal moves about with evident difficulty, and finally sinks down, remains lyiiig on the side or back, without any other movements than those of respiration. It now presents a comatose condition from which it cannot be aroused by striking the sides of the bell jar. Death usually ensues through the gradual lengthening of the respiratory pauses passing into an entire failure of respiration. In a small proportion of the cases, life becomes extinguished through one or two convulsive seizures. No. I. Brown-S^quard Experiment. Commenced at 5 p.m., March 2, 1894. Sparrows in i litre flasks. 4 in series. The + mark indicates the death of the animal. Time. No. I. No. 2. No. 3. No. 4. Remarks. CO,. 0. CO3. 0. COj. 0. CO,. 0. 1 7 , hrs. «7i " i8| " 19I- " + 48.5 litres aspirated each hour ; too rapid. Changed to 2.85 litres per hour. No. 3 died. Symptoms of CO2 poison. Experiment stopped. AND ITS EFFECTS UPON ANIMAL LIFE. No. 2. Brown-SSquard Experiment. Commenced at 1 1.45 a.m., March 3, 1S94. Sparrows in 7-litre hell jars. 5 in series. 61 Ti No. I. 21 g. .So. 2. 21 g. No, 3. 21 g. No. 4. 21 g. No. 5- Rcm.irks. CO.. 0. CO.. 0. CO.. 0. CO. 0. CO.. 0. 4j hrs. + 36 8 litres aspirated. No. 5 died. ,9^ It + No. 4 died during night. Others lively. 22 It No. 3 still comfortable. 27 It + No. 3 died. 2C,l + + Nos. I and 2 dead. 4H 2.8s 16.99 5°i 'S-^S ! 6.07 12.63 736 13-40 Examination of air after death of each bird. No. 3. Brown-S^quard Experiment. Commenced at 12.15 •' ■'^'■> March 5, 1S94. Sparrows in 7-litre bell jars. 5 in series. Time. No. I. 22 g. No. 2. ig g. No. 3. 27 g. No. 4. 26 g. No. 5. 25 g. Remarks. CO.. 0. CO.. 0. CO.. 0. CO.. 0. CO.. 0. 20J hrs. "I " 29i " '9l " + + + Current 11.6 litres per hour. Current reduced ; now 6 litres per hour. No. 5 died. Nos. 3 and 4 dead. Experiment stopped. No. 4. Brown-Sequard Experiment. Commenced at 9.30 a.m., March 7, 1894. Sparrows in 7-litre bell jars. 5 in series. Time. No. I. 21 g. No. 2. 22 g. No. 3. 23 g. No. 4. 25 g- No. 5. 21 g. CO.. 0. CO.. 0. CO.. 0. CO.. 0. CO.. 0. i3i hrs. + 14.30 4- 4-485 14.01 + 3-635 + . + Remarks. All the birds are dead. No record of amount of air aspirated. Examination of air after death. 62 THE COMPOSITION OF EXPIRED AIR, No. 5. Bro\vn-Si';quard Expkrimknt. Commenced at 6 p.m., March 8, 1S94. Sparrows in 7-lilrt' bell jars. 5 in series. Time. No. I 21 g. No. 2. 21 g. No, 3 26 g. No. 4. 22 g. No. 5. 25 g- CO,. 0. CO,. 0. COo. 0. CO,. 0. CO,. 0. 14J hrs. + + + + i8|- " 24 " + 10.83 6-93 '3-545 3-755 '3-25 4-35 13-78 3-465 14-195 3-965 Remarks. Nos. 3, 4, and 5 dead. No. 2 died. No. I died during night. Examination of air after death. No. 6. Brown-Skqu-ard Experiment. Commenced at 8.45 a.m., March 12, 1S94. Sparrows in 7-litre bell jars. 5 in series. Time. No. I 23 g. No. 2 23 g- No. 3 23 g. No. 4. 23 g. No. 5 27 g- Remarks. CO,. 0. CO,. 0. CO,. 0. CO,. •3-77 0. 4.C6 CO,. 8.02 0. 8 hrs. 8| " 3-97 CO.j absorber?. Absorbers changed, saturated. Nos. 3, 4, and 5 are greatly oppressed. All are alive. Experiment terminated. No. 7. Brown-Sequard Experiment. Commenced at 9 15 a.m., March 13, 1894. Sparrows in 7-litre bell jars. 5 in series. No. I 23 g- No. 2 23 g- No. 3 ^3g- No. 4 23 g. No. 5 2-g. Time. Remarks. CO,. 0. CO,. 0. CO,. 0. CO,. 0. CO,. 0. 56.6 litres aspirated. 5f hrs. I. II 19.22 1-49 17.42 Absorbers acting. 7i " + No. 3 died. Nos. i and 2 much oppressed. Experi- ment continued. 81 " 2.02 19.20 4-77 14-23 84.9 litres aspirated. Nos. I and 2 died. 8f " + + Nos. 4 and 5 still unaffected. Experiment continued. 169.8 litres aspirated. Nos. 4 and 5 well. 22 " Experiment terminated. 26 " Nos. 4 and 5 well. 26|- " 12.39 4-155 3.08 17.29 2.6l 77.78 Examination of air after death. AND ITS EFFECTS UPON ANIMAL LIFE. No. 8. BROWN-SltQUARD EXPERIMENT. Commenced at 3.45 p.m., March 14, 1894. Sparrows in 7-litre bell jars. 5 in series. 63 Ti No. I. 29 g. No. 2. 23 8- No. 3. 27 g. No. 4. 26 g. No. 5 27 g. Remarks. CO». 0. CO.. 0. CO.. 0. CO.. 0. CO.. 0. 106 litres aspirated. 18 hrs. Birds all well. >9l 4.28 7-73 4.52 7.12 N'os. 3 and 4 showing signs 20i 30 <( 4.82 5-ot 3-27 3-95 of oppression. No. 5 most affected. No. 5 died. 121.75 litres 3>1: tt + aspirated. No. 4quitesick. Nos. 3 and 4 died in night. 47] t( 856 + 9.665* 0.96 + 10.06* 2.875 3.56 141. 5 litres aspirated and experiment stojjped. Examination of air after death. No. 9. Hrovvn-Skquard Experiment. Commenced at 1 1.30 a.m., March 16, 1S94. Sparrows in 7-litre bell jars. 5 in series. No. I 29 g. No. 2. 23 g. No. 3. 26 g. No. 4. 24 g. No. 5. 24 g. Time. Remarks. CO.. 0. CO.. 0. CO.. 0. CO.. 0. CO.. 0. 4i hrs. .001036 '3-37 .001047 12.67 COo absorbers. 39.6 litres aspirated. H " Current increased. 22 " 290 litres aspirated, or 13 litres per hour. All 22J " 1.29 16.41 2.01 14.92 are well. 357.9 litres aspirated. All birds well. 30 " 46J " 18.01 + 1.51 16.68 + 0.468 13.065 + 2.545 All died during night (aspiration practically nil). Examination of air after death. * These .lir analyses were m.i9 4oi H 42f 4,Sf 444 46i 47l li 5" 65I a No, I, 24 y. No, 2, 25 g. COj. I O, CO3, O No. 3, 26 g. CO,. O 14-77 + 3412 No. 4. 27 g. No. 5. 25 g. COs, o. 5,018 3-457 4-293 5-947 5-8S7 + CO. 2.264 1-577 •36'3-729 6,436 4.08 + 3-449 Remarks, 31 litres aspiraied Current slightly increased, 334,5 litres aspirated. All lively, Ba(H0)2 ab- sorber renewed. 469,75 litres aspirated. Nos, 3, 4, and 5 oppressed, 4^6,75 litres aspirated. Current reduced. No, 5 died. No, 4 died. No, 3 died, 448,75 litres as- pirated. No, 2 oppressed, Nos, I and 2 oppressed, No, 2 most so. Experiment stopped. Both revived, 543,5 litres aspi- rated. Examination of air after death. AND ITS EFFECTS UPON ANIMAL LIFE. a7 No. 13. Brown-Si£QUArd Expkriment. Commenced at 12.45 ''-^'i ^'^ird' -7, i894- Sparrows in 7-litre bell jars. 5 in series. No. I. 24 g. No. 2. 25 g. No. 3. 26 g. No. 4. 25 g. No. 5. 25 g. Time Reni.arUs. CO,.' 0. CO.. 0. CO.. 0. CO,. 0. CO.. 0. I hrs. 8 litres aspirated. Cur- ■ rent reduced. 2i " 35 litres aspirated. 31 " 1. 12 14,565 0.676 13.636 5 " 53 litres aspirated. Cur- rent increased for night. 20I " 4.00 11.279 2.827 '0-556 249 litres aspirated. ."Ml lively. ^'^ :: 4.00 8.279 329 7-055 Nos. 3, 4, and 5 becoming 23! " ^ oppressed. 25 " 4.644 6.145 3.76 4-524 Al! are much oppressed. 26| '; 1 1-655 7-685 1054 5.80 Current slightly increa.scd. 281 " ; 307 litres aspirated. Cur- rent increased for night. 282 " 523 litres aspirated. All are well. 44l " 4-477 11.94 2.468 11.974 566 litres aspirated. Leak- 46I " age, meter clianged to other end of bell jars. 47 " 5-365 9-365 3-518 8.60 .Ml showing signs of op- pression. 47J " 4.609 8-45 3041 7-794 48J " 4-113 7498 4-03 5-95 1 49J " 4.938 5-508 4-25 4-54 5oi " 4-932 4-545 6,327 3-894 5>l " -f- No. 5 died. S3 " + + Nos. 3 and 4 died. 54J " + No. 2 died. No. i released. S4J " Experiment stopped. 14.746 2.186 13.92 3-912 6-4875 34395 Examination of air after death. 68 THE COMPOSITION OF EXPIRED AIR, No. 14. Brown-Sequard Experiment. Commenced at 12 m., March 30, 1894. Mice in 7-litre bell jars. 5 in series. Time. No. I. ig.sg. 5 1 hrs. 21 22i 24 26f t( 28i " 29 3° 46 (( 694 (( 71 74 (4 73i 76 CO.. O. No. 2. 20 g. COj. O No. 3. 27 g. CO,. O. 12.40 No. 4. 19 g. + 353 COj. .278 1.799 3-67 3-25 2-975 2-495 O. No. 5. 27 g. CO2. O. 13.699 14.58 1 1. II 10.143 9-213 8.06 5-476 + 3277 ■645 2-034 3-357 3.068 2.777 2.013 14.76 13.66 10.268 9i° 5-656 + Remarks. 7.176 4-53 26 litres aspirated. Cur- rent increased. Nos. 3, 4, and 5 slightly op- pressed. 157 litres aspirated. No. 3 is slightly op- pressed. i6i-J- litres aspirated. Nos. 3, 4, and 5 slightly oppressed. 166 litres aspirated. Cur- rent increased. All more or less oppressed. 393 litres aspirated. All still oppressed. Current reduced. 413 litres aspirated. No. 5 died in night. Others very sick. No. 3 died. 414 litres aspirated. No. 4 died. 4155 litres aspirated. Aspiration stopped. 417 litres aspirated. Examination of air after death. AND ITS EFFECTS UPON ANIMAT, I.II-K. No. 15. Brown-Sequard Experiment. Commenced 12 .\i., .April 2, 1894. Mice in 7-litre bell jars. 5 in series. 09 No. I. 19.5 g. No. 2. 17 g. No. 3. 18 g. No. 4. 17 g- No. 5. 17 g. Remarks. Time. CO.. 0. CO.. 0. CO.. 0. CO,. 0. CO.. 0. IS irs. 3839 '5-356 8.671 8.671 2 litres aspirated. •si ti 7.865 9-55 6-39 5-534 5-75 Leakage. 17 it 7-41 S-357 9.93 18 ti 7.69 5-38 6.45 9.248 5.0 litres aspirated. "9i (1 5.5 litres aspiratctl. '9i (t 17 litres aspirated. 22 (i 19.5 litres aspirated. Current increased. 23 (( 109 litres aspirated. 39 (( 1-765 13-84 1.78 '439 40* 11 2.40 13.16 2-39 12.517 4.* (( 372 12.51 3.717 ir.639 42i It 3-867 11.22 5.048 10.00 44 4( 5-05 9-53 5-57 8.406 4SJ l( 5-17 9-79 378 142.5 litres aspirated. 46J 11 .... 142.5 litres aspirated. 47J If 62^ 11 6.845 8.60 1.98 6.06 All somewhat op- 63i ti 7-49 7.67 2-35 4.70 pressed. 183 litres as- pirated. 64* tl 7.29 7.29 3-03 3.98 185 litres aspirated. 6SJ tt 7.40 6-37 3-59 396 All considerably o])- 66 H 7-75 5.86 2.92 3-86 pressed. 67 it 7-319 6.178 3.26 3.58 68 it 7.27 6.04 3-43 3-33 69 It 8.22 S-io 3.63 2-IS 70- tt 8.25 4-78 4.00 2.96 71 ti 7.61 S-39 3-44 3-25 71I It Current increased ; 189.5 ''""es aspirated. A// much oppiesscd. 86} It 3.60 12.93 2-35 1365 All quite lively ; 367 litres aspirated. 1 All absorbers renewed. 87i 11 5248 12.58 3-19 12.77 SBi (1 5456 12.32 4.14 12.15 89i u 7-47 10-34 5.465 10.546 All absorbers acting poorly. 90 ■ It 7.66 9-875 6.22 9.707 92; «( 8.37 9-335 6.346 9.519 93 tt 9.17 8.508 7.66 1 8.141 94 tt 9.67 7-375 8.365 7-307 1 • -1 9Si tt 9-93 7-35 8.318 7.68 373 litres aspirated. Current slightly in- creased. 96 It + + + + Nos. 2, 3, 4, and 5 dead ; 382 litres aspirated. Experiment slopped. lioi it •0-939 6.5^ 12.60 4.55 12.28 3-93 12.31 4.86 Examination of air after death of mice. 70 THE COMPOSITION OF KXPIRED AIR No. i6. Brown-Sequard Experiment. Commenced at lo a.m., April 9, 1S94. Mice in 7-litre bell jars. 5 in series. No. I 7g. No. 2 15 g. No. 3. 18 g. No. 4. 25 g. No. 5 19 g- Remarks. CO2. 0. COj. 0. CO2. 0. COj. 0. CO,. 0. 7i hrs. 7.5 litres aspirated. All oppressed. Current in- creased. Si. 5 litres aspirated. 22| '• Current reduced. 86 litres aspirated. All ex- cept No. I oppressed Current increased. 3'i " + + + 90.5 litres aspirated.- Nos. 47 " 3, 4, and 5 died in night. The experiment stopped. 16.317 3.80 13-3° 4.02 12.05 5-437 Examination of air after death. AND ITS EFFECTS UPON ANIMAL LIKE. 71 Time. 5}hrs. -^>i ' 30 tt 44J tl 51* 5-4 it 53 68 68* it 69A v'i 72A it ii if 75 76 u 77 79i tt io4i it 117* ii8i it 121+ 122. u 123; 124: 12 1 tt tt tt I22I ■' 125 '25 I2S >25i (< No. 17. Brown-S^qu.ard Experiment. Commenced at 12 m., April 11, 1S94. Mice in 7-litre bell jars. 5 in series. N'o. I. 7 g. I No. 2. 15 g. , No. 3. 16 g. CO.. , O. I CO,. I O. I CO, O. Nq. 4. 23 g. CO, O. No. 5. 171;. CO,. o. (3. 48 8.80 12.129 7.067 11.346 12.09 12.007 13.66 1513 15.08 7.88 7.38 7.49 6.256 4.59 4.13 »5-6i3 i-^3 10.919 10.919 11.06S II. II 12.63 12.65 7.00 7.08 6.297 5-465 4.689 4.506 12.989; 4.29 a. Fresh house mouse placed in No. 5 jar. b. " white " " " 5 " <=• 5 " *" 74*" Fresh mice in Nos. 3 and 4. 22.5 litres aspirated. Cur- rent continued. 121. 5 litres aspirated. All lively. 211. 5 litres aspirated. All more or less oppressed. 276 litres aspirated. All more or less oppressed. 325 litres aspirated. All more or less oppressed. 341.5 litres aspirated. Consid- erably oppressed ; experi- ment stopped. 76 2i^hrs. 28 " 45 " Soi" 69I" 75 " THE COMPOSITION OF EXPIRED AIR, Continued as Experiment 25, after interval of two days. May 21, 1894. 103.5 litres aspirated. All much oppressed ; same current. 130 litres aspirated. All much oppressed ; same current. 198.5 litres aspirated. All much oppressed ; same cur- rent. 266.5 litres aspirated. All much oppressed ; same cur- rent. 323.5 litres aspirated. All much oppressed ; same cur- rent. 340 litres aspirated. Experi- ment stopped ; all soon re- vived. Continued as Experiment 26, after interval of one day. May 25, 1894. 7|hrs. 22| ' 7'l 78 4.5 litres aspirated. All de- pressed ; current increased. 147 litres aspirated. All de- pressed ; same current. 392.5 litres aspirated. Sunday between. 394.5 litres aspirated. Experi- ment stopped ; all soon re- vived. Continued as Experiment 27, after interval of one day. May 29, 1S94. 4 hrs. 20i " Ml" 44i" 68i " 75 " 5 litres aspirated. Show op- pression ; current increased. 69 litres aspirated. Current reduced. 74 litres aspirated. Much op- pressed ; current increased. 77 litres aspirated. Current again increased. 146 litres aspirated. More lively ; current reduced. [52.5 litres aspirated. Current increased. 301,5 litres aspirated. Current reduced. 317 litres aspirated. Experi- ment stopped ; revived. AND ITS EFFECTS UPON ANIMAL LIFE. Continued as Experiment 28, after interval of one day. June 2, 1894. 4ihrs. 21J " 45 " 5^i " 68J " 75 " 7 litres aspirated. Current increased. 134.5 litres aspirated. Same current. 227.5 litres aspirated. Current reduced. 258 litres aspirated. Same current continued. 395 litres aspirated. Current again reduced. 434 litres aspirated. Experi- ment stopped : revivod. a No. I of Experiment 17 placed in Nn. 5 ; died in one-half minute, b No. 3 of Kxperiment 19 placed in No. 4 ; died in three minutes. c No. 2 of Experiment 17 placed in No. 5 ; died in one minute. No. 29. Brown-S^quard Experiment. Commenced at 5.15 p.m., June 5, 1894. Mice in 7-litre bell jars. 5 in series. Time. 16 hours. 24 No. I. II g I No. 2. 9 g. No. 3. 12 I CO,. O. CO,. 40 i 47 i 64 i 70 72A 87 J 94i 96.} 114 114 114 ii4i •■5i COj. o. No. 4. 16 g. CO.. TO.SI n.80 + No. 5. 19 g. CO.. 7-45 Remarks. 5.80 + 121 litres aspirated. Cur- rent reduced ; all are lively. 129 litres. Current in- creased ; some oppres- sion. 301.5 litres. Current re- duced. 335.5 litres aspirated. (Current increased ; some oppression. 451 litres. Current re- duced. 460 litres. Current same ; some oppression. 5J5.5 litres. Current much reduced. 541 litres. Current in- creased ; greatly op- pressed. 545.5 litres. Current same. Nos. 4 and 5 died in the night. No. I of last experiment placed in jar No. 5 ; remained alive. No. 2 of last experiment |)laced in jar No. 4 ; alive. No. 3 of last experiment placed in jar No. 3 ; alive. 565.5 litres aspirated. 567 litres aspirated ; all mice alive ; experiment stopped. 78 THE COMPOSITION OF EXPIRED AIR, No. 30. Brown-Skquard Experiment. Commenced at 1.15 p.m., June 13, 1894. Guinea-pigs in 7-litre bell jars. 5 in series. Time. No. I. No. 2. \Vt. 172 g. \Vt. 185 g. No. 3. No. 4. No. 5. Wt. 197 g. i \Vt. 275 g. Wt. 287 g 3 hou 18+ 2ii 44i 7Sf 94]: "5f I22f i48i i63f 171T 187 J i94t 211} 23Si + + + Wt. 555 Remarks. Nos. 4 and 5 are oppressed. Cur- rent 24 litres per hour. No. 5 dead. Great negative pres- sure. Fresh air su|)plied, and No. 5 replaced by a fresh guinea- pig. Experiment continued. 60 litres i^er hour ; all are lively. Animals fed ; bell jars cleaned. Animals replaced. Animals fed ; all well and dry ; 60 litres per hour. Again fed ; all lively and dry in bottom of cages. 30 litres per hour; Nos. 4 and 5 oppressed ; animals fed. 80 litres per hour ; animals fed. 80 litres per hour ; cages cleaned ; animals fed. 40 litres per hour ; animals fed ; all oppressed. 50 litres per hour ; animals fed. 50 litres per hour ; animals fed. 45 litres per hour ; animals fed. No. I dead of oedema of lungs ; experiment continued with 4 animals. No. 3 died in night of cedema of lungs. Experiment continued. Nos. 2, 4, and 5 living, but much oppressed. Experiment stopped. Experiment lasted g days and 20 hours. No. 5 died three days after close of experiment. No autopsy. AND ITS EFFECTS UPON ANIMAL LIFE. No. 31. Brown-Sequard Experimknt. Commenced at 5.15 p.m., June 25, 1894. Rabbils in 37-litre bell jars. 5 in series. 79 Time. No. I. 1S50 g. No. 2. 1325 g. CO,. .. .nj 0. No. 3. 1564 g. No. A. 140S g. No. 5. 1647 n I COj. O. CO,. I o. CO.. o. r6 hours. 24 " 4oi " Remarks. t)0 litres per hour aspi- rated. 34 litres per hour ; some oppression. Nos. 2 and 3 died in the night. Experiment stopped. No. 32. BROwx-Sitgu.VRi) Experimknt. Commenced at 10.15 •■^•■'^i., December 4, 1894. Rabbits in 37-litre bell jars. 6 in series. No. I. No. 2. No, 3. No • -t. No . 5- .No. 6. 2iS5g. 1945 g- 1965 g- 2025 g. 2500 g. 3043 g- Time. Remarks. CO,. 0. CO.. 0. CO.. 0. CO,. 0. CO,. 0. CO,. 0. % i i % % % 3l hrs. 3-9' ■5-87 5-33 14.19 120 litres per hour as- pirated. 4; " 4.13 '4-47 5.08 ■317 St " 413 14.56 5.02 13.62 26; " .S-5.S 14.67 6.17 13-67 27A " 4.18 «4-25 6.19 11.32 -9: " 6.00 14.19 7.21 13-86 46} " 413 1505 4.83 14.00 5'*:: 4-38 '4-74 5-88 12.26 S3 " 6.10 13.20 7.17 11.90 54 " S-28 13.90 6.05 12.40 71* " 3-47 iS-4«> 4-05 13-83 74i " 5.92 !l2.82 6.81 11.46 78.i " 5 -8 1 13.69 7-38 IT.82 94J " + + + + + All the rabbits are smothered except No. 6. The glass plate under No. 6 broke during the night and arrested the aspiration of air through the other bell jars. 80 THE COMI'OSITION OF EXPIRED AIR, No. ;^;^^. BRowN-SitQUARD Experiment. Commenced at 2.45 r.M., December 8, 1894. Rabbits in 37-litre bell jars. 6 in series. No. I. No. 2. No. 3. No. 4. No. 5. No. 6. 820 g. 900 g. 917 g- 1125 g- 1220 g. 1665 g. rime. Remaiks. Days. co=.! 0. COj. 0. CO2. 0. CO,. 0. CO,. 0. CO,. 0. % % % % % i % % I 80 litres per hour aspirated. 2 3-0" 16.03 363 14.62 3 3-43 '5-39 4.32 13.86 70 litres per hour aspirated. 4 Larger glass tubing used to connect the bell jars. 100 litres per hour aspirated. 5 1-39 16.68 1.61 15-5' 6 1.58 16.27 1.72 14.49 7 4-94 14-43 4.88 13.86 8 4-31 15-29 4.46 14.98 9 4-31 15-29 4.46 14.98 Cages cleaned out ; 148 litres per hour aspirated. 10 2-51 16.69 2.72 15-69 1 1 12 1.08 16.38 I-S9 16.30 130 litres per hour aspirated. 13 2.37 16.11 2-5' 15-54 14 1.69 16.60 1-99 15-43 15 16 1-75 16.55 2.23 15-67 Cages cleaned out. 17 18 4.07 15.22 5-24 13-88 19 4.69 15-15 5-53 13-74 20 4-9' 16.01 6.16 1546 21 451 15-58 5-85 14.00 22 23 7.61 II. 81 7-75 11.63 Cages cleaned out ; 130 litres per hour aspirated. 24 4.88 15-03 6.32 13-63 25 5.58 14.20 6.52 13-35 120 litres per hour aspirated. 26 5-38 14.18 6.31 12.73 27 6.84 14.00 6.51 14. II 125 litres per hour aspirated. 28 6.68 13.26 6.69 13.00 29 30 6.26 13-71 7-44 12.53 31 4.89 14.87 7. II 12.74 32 4-77 15-38 7-59 12.62 33 6-39 13-37 7.81 11.77 no litres per hour aspirated. 34 4-23 15-76 7.46 11.14 35 5-74 14.17 8.02 11.69 Cages cleaned out ; No. 6 not 36 37 well ; due to filth. 6.67 13-55 7.70 12.45 No. 6 has fully recovered. 38 4.42 14.44 5-44 13.06 no litres per hour aspirated. 39 5-29 13-S' 6.81 12.05 40 4.86 14.88 7-9° 12.54 41 42 5-74 14-45 6-94 13-19 Experiment stopped. 1052 g- i°55 g- 1 190 g. i°47 g- 1352 g- 1544 g- Weight of animal at close of experiment. INDEX. Abbott, A. C J4> 31 Abbott's modification of Hammond apparatus 46 Absorption tubes 57 Air, expired, micro-organisms in '3i 33 " " organic matterin. .4, 5, 8, II, 14, 34 " oxidizable matter in 42 Ammonia in condensed moisture from ex- pired air 36 " in air 16 Animals, individual susceptibility of 22 Apparatus for condensing moisture 35, 38 Appendix 33 Asphyxia, composition of air producing 17 " pathology of 23 Atmospheres, artificial 50 Bacteria in hospital air 40 Bergey's ex[)eriments '3> 33 Bernard, C 3 Bert, Paul 3. 29 Beu, J >>, 15. 31 Bibliography 29 Black Hole of Calcutta 2 Blood-counis 59 Brown-Secjuard apparatus 56 " and d'Arsonval 5, 7, 13 " experiments 60 Bunte's gas burette 44 Carbonic acid, effects of 2, 4, 1 7, 47 Conclusions 24 Condensing apparatus 38 Consumption, causes of 26 Dastre and Love 6, 30 Dust filter 16, 39 Fasting, effects of, on expired air 15 Friedlander and Herter 19, 29, 31 Gaseous mixtures 18 Habit, effects of '9> 25 Haldane and Smith 9, 1 1, 30 Hammond, W. A 4, 29 " experiments 42 Hermans, J. T. F 5,29 Hospital ward, air of 39 Injections of liquid condensed from exhaled air 5, 7, 8, 10, 20, 53 Leblanc's researches 2 hehmann and Jessen 8, 15, 30 Lipari and Crisafulli 9. 3° I.iibbcrt and Peters •...12,34 Margouty, B. M. E 9, 3° Merkel, S 10, 30 Micro-organisms in expired air 13, ^^ Moisture of exhaled air 5i '5) 34 Moulh, cleansing of, effects of 37 " decomposing organic matters in ... . 15 Negative pressure 58 Odors, cause of Olmsted, Dr. Ing-.'rsoll Organic matter in human breath 4, Oxygen, diminution of, effects of Pettenkofer, M Pulmonary liipiid, injection of Ransome, A 4, 15, Rauer 12, Regnault and Reiset 3, Renk, F 15, Richardson, B. W 3, 19, Richardson's experiment Russo-Giliberti and .■\lessi 7, Sanfelice, F 12, Seegen and Nowak 5, Smith, R. .\ 4, Temperature, effects of Toleration of foul air, acquired. 26 I 37 18 29 6 29 32 29 31 29 48 3° 3' 29 29 25 '9 Uffelmann, J 8, 30 Valentin, G 3, 29 Ventilation, insufficient, effects of 2, 60 Von Hofmann-Wellenhof. ... 8 Warwick, Dr. Hill S i Weight of animals, effect of breathing expired air on 58 Wurtz, R 7. 3° 81 COLUMBIA UNIVERSITY LIBRARY This book is due on the date indicated belov/, or at the expiration of a definite period after the date of borrowing, as provided by the rules of the Libi-ary or by special ar- rangement with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE C28(239)M100 QP121 ^^2 Billings . , • „„^ The conposition of expired air and its effect s upon anima l li-e MAY 10 1940 C.U.BI^3DS^Y J t- "':