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February 1981

Renal Function in Anaesthesia and Surgery

Author Affiliations

New Haven, Conn

Arch Surg. 1981;116(2):259. doi:10.1001/archsurg.1981.01380140099037

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This monograph will be welcomed by those who wish to bring up to date their understanding of how anesthesia, surgery, and trauma affect renal function. The author has made several valuable contributions to this field in recent years. He knows his subject. He writes well. He distinguishes the important and the practical from the esoteric and the arcane. The result is a succinct, clear presentation that is a pleasure to read.

The book starts with a review of basic principles, which covers gross and microscopic anatomy, circulation, osmoregulation, excretion of water and solutes, renal acid-base regulation, and renal function tests. This section alone makes the book worthwhile for those of us who are nephrologic novices. Basic principles are followed by a systematic exposition of how anesthesia affects renal function. The author carefully dissects out direct effects of anesthetics on various aspects of renal function from indirectly mediated effects secondary to

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