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May 9, 1986

Care of the Postoperative Surgical Patient

Author Affiliations

State University of New York Stony Brook

JAMA. 1986;255(18):2501-2502. doi:10.1001/jama.1986.03370180127053

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This work from the United Kingdom is a pleasant surprise. It correctly emphasizes that postsurgical care is a multidisciplinary responsibility and that no one surgeon can expect to be an expert in all the areas of postoperative management, although exceptions may exist. The interrelationships of antimicrobials, pharmacologic agents, analgesics, and nutritional support are discussed in some detail, along with the added perturbing influences of anesthesia and surgery. A minor disadvantage is the review of some drugs not available in this country.

The book is divided into five parts and 15 chapters, which makes retrieval of information relatively easy. Chapter 1 covers the period from leaving the operating room up until leaving the recovery room. The first part presents general information, including mortality statistics, and the remainder covers specific medical problems and their causes and treatment.

Chapter 2, "Case for Patient Controlled Analgesia," highlights an important point, viz, too many patients