January 1954


Author Affiliations

From the Medical and Surgical Services of Halloran and Brooklyn Veterans Administration Hospitals.

AMA Arch Surg. 1954;68(1):44-56. doi:10.1001/archsurg.1954.01260050046006

OF ALL the objective criteria of the status of a patient in shock, the level of the arterial blood pressure is by far the most commonly used in estimating the clinical state and prognosis. This is reasonable, since the level of arterial tension is one of the major factors in the delivery of nutrient blood to the various organ systems. Hypotension of sufficient severity and duration is fatal. Thus all measures which will restore the blood pressure to normal have potential therapeutic usefulness. In most instances of surgical shock the restoration of fluid volume by use of electrolytes, plasma, blood, or colloids is adequate for the correction of the shock state. However, there is a significant group of patients in whom the response to infusion is slow in appearing or does not appear at all. Additional methods of treatment are necessary in this group and the most logical of these

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