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January 1950


Arch Surg. 1950;60(1):102-111. doi:10.1001/archsurg.1950.01250010118011

ALL THE customary methods of parenteral administration of fluids are subject to a certain criticism.

The most popular procedure, venoclysis, necessitates the immobilization of one of the extremities. This is tiresome for the patient, especially if a large amount of fluid is introduced, is likely to disturb his sleep and interfere with movements and change of position of the body, so desirable for prevention of postoperative thrombosis and embolism. Immobilization of infants requires sandbags and restraints and even then cannot always be easily accomplished. Difficulty may be experienced in locating or entering the vein, especially in infants, patients in shock with collapsed blood vessels, obese persons or those in whom the most accessible veins have been used repeatedly and have become thrombosed. If a needle slips out of the vein, the painful procedure of reinsertion is required. If the mishap occurs at night, it disturbs the patient's sleep and

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