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Abstract
Returning to our original three questions in summary, it can safely be stated, from
the study of these cases, that the patient most likely to develop surgical edema is
one subjected to starvation associated with an infection such as peritonitis. Edema
need not be expected if the total serum protein is not permitted to fall below the
critical level, and if the intake of sodium chloride is not excessive. Edema appeared
only in those cases of prolonged and serious illness, and for this reason the occurrence
of edema in any surgical patient is one of the many signs suggesting the seriousness
of the illness and a possibly unfavorable outcome. When the development of this complication
occurs or is imminent, as shown by blood protein depletion, repeated transfusions
are indicated. If edema develops, the intake of sodium chloride should be immediately
discontinued. A 5 per cent dextrose solution may be given to supply the necessary
liquid.
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References
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Article info
Publication history
Received:
October 23,
1936
Identification
Copyright
© 1937 Published by Elsevier Inc.
