Original communication| Volume 13, ISSUE 1, P35-45, January 1943

The circulation rate after operation

With special reference to the effect of position
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      • 1.
        1. Usually, the cubital vein-to-carotid body time and ankle vein-to-carotid body time, as determined by the sodium cyanide method, is shortened after major surgery. In one-hundred and ninety-one cases, the average preoperative cubital vein-to-carotid body and ankle vein-to-carotid body times were seventeen and thirty-six seconds, respectively; postoperatively, the times were fourteen and thirty-two seconds, respectively.
      • 2.
        2. Circulation rates vary widely in patients with apparently normal circulatory systems.
      • 3.
        3. Acceleration of blood flow postoperatively is probably related to the increased metabolic demands of the organism, which are manifest by increased temperature, pulse rate, and respiration.
      • 4.
        4. Gravity retards the flow of blood from the upper and lower extremities, either when the position of the extremity itself is changed or when the longitudinal axis of the entire body is altered.
      • 5.
        5. Fowler's position delays the return of blood from the lower extremities.
      • 6.
        6. Ankle vein-to-carotid body circulation rate is shortened by active motion of the foot or toes and by elevation of the extremity.
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