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July 26, 1952

The Metabolic Response to Surgery

JAMA. 1952;149(13):1258. doi:10.1001/jama.1952.02930300084033

This book describes studies carried out on metabolic balances in order to determine the biologic responses to surgery. The studies deal with patients undergoing surgery who had been treated by ordinary methods. A uniform method of charting is presented, and, although an attempt has been made to present it simply, it has become cumbersome and confusing as can be noted in figure 31 on page 83. Charting of this type, although accurate and conclusive, must be simplified if it is to be of practical value, particularly to the general practitioner or the general surgeon.

Great detail was gone into in the preparation of this material, and the authors utilized a "team" of 35 co-workers. Careful studies were made on total intake and total output of selected chemical substances in order to cast light on biologic processes. The collection of output presented special problems. When dressings were stained by exudate or

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