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LABORATORY AIDS IN SURGERY, WITH SPECIAL REFERENCE TO POTASSIUM DEFICIENCY

LABORATORY AIDS IN SURGERY, WITH SPECIAL REFERENCE TO POTASSIUM DEFICIENCY Abstract BY TRADITION, most of the presidents' addresses before this Society have been of a philosophical nature. However, being skeptical that I could utilize this principle and still maintain the high standard set by previous presidents, I have chosen to devote part of my time today to a scientific presentation. VALUES AND PITFALLS OF LABORATORY AIDS IN SURGERY Although a major portion of the progress made in surgery during the past half century has developed through physiologic and chemical mechanisms contained in laboratory tests and examinations, yet we have great difficulty in attaching the proper significance to this data. We must not fail to appreciate that laboratory tests can be of inestimable value in surgical diagnoses and indications for certain types of therapy, but they cannot be used effectively without the application of proper intelligence. Unless we use all our intellectual facilities in interpretation of labo References 1. In our laboratory the following values are considered normal: serum potassium, 4.1 to 5.6 milliequivalents; serum sodium, 138 to 148 milliequivalents; serum chloride (as NaCl), 570 to 620 mg. per 100 cc.; carbon dioxide-combining power, 55 to 75 volumes per cent; nonprotein nitrogen, 25 to 35 mg. per 100 cc. 2. Snyder, C. D., and Snyder, H. E.: Serum and Urinary Potassium in Surgical Patients , Arch. Surg. 61:62 ( (July) ) 1950.Crossref 3. Darrow, D. C.: Congenital Alkalosis with Diarrhea , J. Pediat. 26:519, 1945Crossref 4. The Retention of Electrolyte During Recovery from Severe Dehydration Due to Diarrhea , J. Pediat. 28:515, 1946.Crossref 5. Randall, H. T.; Habif, D. V.; Lockwood, J. S., and Werner, S. C.: Potassium Deficiency in Surgical Patients , Surgery 26:341, 1949. 6. Marks, L. J.: Potassium Deficiency in Surgical Patients , Ann. Surg. 132:20, 1950.Crossref 7. Benedict, F. G.: A Study of Prolonged Fasting , Publication 203, Carnegie Institution of Washington, 1915. 8. Evans, E. I.: Potassium Deficiency in Surgical Patients: Its Recognition and Management , Ann. Surg. 131:945, 1950.Crossref 9. When glucose is referred to in this article d-glucose was used. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

LABORATORY AIDS IN SURGERY, WITH SPECIAL REFERENCE TO POTASSIUM DEFICIENCY

COLE, WARREN H.
A.M.A. Archives Surgery , Volume 62 (6) – Jun 1, 1951
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1951.01250030748001
Publisher site
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Abstract

Abstract BY TRADITION, most of the presidents' addresses before this Society have been of a philosophical nature. However, being skeptical that I could utilize this principle and still maintain the high standard set by previous presidents, I have chosen to devote part of my time today to a scientific presentation. VALUES AND PITFALLS OF LABORATORY AIDS IN SURGERY Although a major portion of the progress made in surgery during the past half century has developed through physiologic and chemical mechanisms contained in laboratory tests and examinations, yet we have great difficulty in attaching the proper significance to this data. We must not fail to appreciate that laboratory tests can be of inestimable value in surgical diagnoses and indications for certain types of therapy, but they cannot be used effectively without the application of proper intelligence. Unless we use all our intellectual facilities in interpretation of labo References 1. In our laboratory the following values are considered normal: serum potassium, 4.1 to 5.6 milliequivalents; serum sodium, 138 to 148 milliequivalents; serum chloride (as NaCl), 570 to 620 mg. per 100 cc.; carbon dioxide-combining power, 55 to 75 volumes per cent; nonprotein nitrogen, 25 to 35 mg. per 100 cc. 2. Snyder, C. D., and Snyder, H. E.: Serum and Urinary Potassium in Surgical Patients , Arch. Surg. 61:62 ( (July) ) 1950.Crossref 3. Darrow, D. C.: Congenital Alkalosis with Diarrhea , J. Pediat. 26:519, 1945Crossref 4. The Retention of Electrolyte During Recovery from Severe Dehydration Due to Diarrhea , J. Pediat. 28:515, 1946.Crossref 5. Randall, H. T.; Habif, D. V.; Lockwood, J. S., and Werner, S. C.: Potassium Deficiency in Surgical Patients , Surgery 26:341, 1949. 6. Marks, L. J.: Potassium Deficiency in Surgical Patients , Ann. Surg. 132:20, 1950.Crossref 7. Benedict, F. G.: A Study of Prolonged Fasting , Publication 203, Carnegie Institution of Washington, 1915. 8. Evans, E. I.: Potassium Deficiency in Surgical Patients: Its Recognition and Management , Ann. Surg. 131:945, 1950.Crossref 9. When glucose is referred to in this article d-glucose was used.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Jun 1, 1951

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