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Postresuscitation Hypertension

Postresuscitation Hypertension Abstract To the Editor.—In their recent article (Arch Surg 108:531, 1974), Ledgerwood and Lucas successfully documented a "postresuscitation hypertension" caused by the administration of large volumes of isotonic sodium solutions during resuscitation from trauma and the continued large positive balances of salt and water in the days following operation. With this conclusion and their proposed therapy of salt and water limitation plus pharmacologic diuresis, none can argue. The authors fail, however, to be completely persuasive in their premise that these large volumes of salt and water are really required in the first place. The work of Carey et al from Vietnam, quoted by the authors to support their thesis, on critical reading demonstrates only that patients can be resuscitated using large volumes of saline, not that they must be or even that it is necessarily better. The original work quoted of Shires et al using sodium sulfate S 35 and References 1. Gump FE, et al: Duration and significance of large fluid load administered for circulatory support . J Trauma 10:431-439, 1970.Crossref 2. Fleming WH, Bowen JC: The use of diuretics in treatment of early wet lung syndrome . Ann Surg 175:505-509, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Postresuscitation Hypertension

BREDENBERG, CARL E.
Archives of Surgery , Volume 109 (2) – Aug 1, 1974
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Postresuscitation Hypertension

Abstract

Abstract To the Editor.—In their recent article (Arch Surg 108:531, 1974), Ledgerwood and Lucas successfully documented a "postresuscitation hypertension" caused by the administration of large volumes of isotonic sodium solutions during resuscitation from trauma and the continued large positive balances of salt and water in the days following operation. With this conclusion and their proposed therapy of salt and water limitation plus pharmacologic diuresis, none can argue. The...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01360020194038
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—In their recent article (Arch Surg 108:531, 1974), Ledgerwood and Lucas successfully documented a "postresuscitation hypertension" caused by the administration of large volumes of isotonic sodium solutions during resuscitation from trauma and the continued large positive balances of salt and water in the days following operation. With this conclusion and their proposed therapy of salt and water limitation plus pharmacologic diuresis, none can argue. The authors fail, however, to be completely persuasive in their premise that these large volumes of salt and water are really required in the first place. The work of Carey et al from Vietnam, quoted by the authors to support their thesis, on critical reading demonstrates only that patients can be resuscitated using large volumes of saline, not that they must be or even that it is necessarily better. The original work quoted of Shires et al using sodium sulfate S 35 and References 1. Gump FE, et al: Duration and significance of large fluid load administered for circulatory support . J Trauma 10:431-439, 1970.Crossref 2. Fleming WH, Bowen JC: The use of diuretics in treatment of early wet lung syndrome . Ann Surg 175:505-509, 1972.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1974

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