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April 2, 1955

Fluid Balance in Surgical Practice

JAMA. 1955;157(14):1261. doi:10.1001/jama.1955.02950310087023

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This small volume is based on the Moynihan prize for 1953 and appears to be the first recent monograph on the subject of fluid balance by an English surgeon. An excellent monograph on water and salt depletion by H. L. Marriott, an English physician, was published in 1950. As in all discussions on water and electrolyte, theory and practice are difficult to unify. In this monograph the case reports and experiences of the author are most valuable and informative, whereas their correlation with theory leaves much to be desired. This is perhaps best illustrated by the discussion on basic water and electrolyte needs of the well-nourished patient after uncomplicated abdominal operations. This occupies about 60% of the actual text and contains valuable and original observations based on urinary, blood, and other measurements in 24 patients personally studied and given a minimum of 4 liters of water, 150 gm. of glucose,

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