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January 1918


Author Affiliations

From the Department of Pediatrics, The Johns Hopkins University, and The Harriet Lane Home, The Johns Hopkins Hospital.

Am J Dis Child. 1918;XV(1):19-28. doi:10.1001/archpedi.1918.04110190022002

The parenteral administration of water is a widely used therapeutic measure in the treatment of the severe nutritional disorders of infants, especially when, after continued vomiting and diarrhea, marked loss of body fluids has resulted. It is an efficacious means of combating this serious complication.

Without entering into a discussion as to the relative merits of the procedures used to introduce water, it may be said that the methods which have been employed leave much to be desired. The vomiting and diarrhea are usually so severe in the cases that require water that they prevent its administration by mouth or rectum. Intravenous injection is often difficult, and it is rarely possible to inject an amount sufficient for the purpose without throwing too great a burden on the circulation. The subcutaneous method is the one on which chief reliance has been placed. In our hands the results from this method have

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