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February 7, 1959

Electrolyte Changes in Surgery

JAMA. 1959;169(6):653. doi:10.1001/jama.1959.03000230109026

Although much of the usual material concerning water and electrolytes is presented in this monograph, emphasis has been placed on physiology pertaining to particular operations or anatomic segments. This is commendable. Of particular interest is the section entitled "Philosophy in the Diagnosis and Treatment of Electrolyte and Water Problems." The authors correctly state that strict rules cannot be followed because equilibrium in this field is a dynamic one; when one abnormality is corrected it may in turn produce another. Hence, the authors have stressed the entire electrolyte pattern in various diseases. They should be complimented on their statement that the most common electrolyte abnormality encountered in clinical medicine is the "laboratory error." The importance of clinical as well as laboratory data is emphasized. This book can be recommended to anybody interested in electrolyte changes in surgery.

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