This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Complication of Parenteral Fluid Therapy and Intestinal Trauma

ROBERT E. L. BERRY, M.D.

AMA Arch Surg. 1960;81(2):193-204.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Because the administration of parenteral fluids to surgical patients does not always possess therapeutic perfection, iatrogenic complications related to their use will continue to be periodically observed. Certain of these complications have been well documented, particularly those resulting from the over- or underadministration of proper volume, ionic constituency, and errors in the simple mechanics of infusion technique.¹

During periods of extended decommissioning of the gastrointestinal tract, the error potential of volume and ionic constituency of supportive parenteral fluids is increased, as exact replacement is a practical impossibility and capacity for maintenance of internal homeostasis suffers further erosion because of variable deprivations of adequate nutrition. One of the less common, and certainly less well documented complications of supportive parenteral fluid therapy under these circumstances, is the establishment of a vicious intake-output cycle characterized by progressive volume increase in gastrointestinal suction aspirate accompanied by simultaneous attempts to replace these losses by . . . [Full Text PDF of this Article]

Author Affiliations
Ann Arbor, Mich.

From the Department of Surgery, The University of Michigan.

Footnotes
Supported by Grant 117 of the Michigan Memorial Phoenix Project.

Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 18, 1960.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?