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FOR A BETTER MEANS OF ESTIMATING THE NEED FOR RESTORATION OF THE BLOOD VOLUME

FOR A BETTER MEANS OF ESTIMATING THE NEED FOR RESTORATION OF THE BLOOD VOLUME To the Editor:— The benefit of infusion of serum in cases of shock seems now to be established beyond all doubt. Particularly after severe burns, if the loss of serum externally is not to induce a development of shock, restoration of the blood volume is imperative. The question then is How can the surgeon best judge when, how much and how rapidly serum should be administered? It seems now to be generally accepted that failure of the circulation, or shock from decrease of blood volume, is not due to depression of the vasomotor control of the arteries but that the fall of arterial pressure is secondary to the decrease of the venous return: the heart can pump into the arteries no more than the decreased volume that it receives from the veins. It would therefore be more logical and afford an earlier and more quantitative index of a failing circulation http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

FOR A BETTER MEANS OF ESTIMATING THE NEED FOR RESTORATION OF THE BLOOD VOLUME

JAMA , Volume 120 (17) – Dec 26, 1942

FOR A BETTER MEANS OF ESTIMATING THE NEED FOR RESTORATION OF THE BLOOD VOLUME

Abstract



To the Editor:—
The benefit of infusion of serum in cases of shock seems now to be established beyond all doubt. Particularly after severe burns, if the loss of serum externally is not to induce a development of shock, restoration of the blood volume is imperative. The question then is How can the surgeon best judge when, how much and how rapidly serum should be administered?
It seems now to be generally accepted that failure of the circulation,...
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Publisher
American Medical Association
Copyright
Copyright © 1942 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1942.02830520064022
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— The benefit of infusion of serum in cases of shock seems now to be established beyond all doubt. Particularly after severe burns, if the loss of serum externally is not to induce a development of shock, restoration of the blood volume is imperative. The question then is How can the surgeon best judge when, how much and how rapidly serum should be administered? It seems now to be generally accepted that failure of the circulation, or shock from decrease of blood volume, is not due to depression of the vasomotor control of the arteries but that the fall of arterial pressure is secondary to the decrease of the venous return: the heart can pump into the arteries no more than the decreased volume that it receives from the veins. It would therefore be more logical and afford an earlier and more quantitative index of a failing circulation

Journal

JAMAAmerican Medical Association

Published: Dec 26, 1942

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