Summary
An increasing awareness that bowel absorptive function can be maintained or returned to normal soon after trauma or abdominal injury and the formulation of glucose/electrolyte solutions specifically designed to be rapidly absorbed from the small bowel are responsible for the current trend of early oral rehydration and decreasing use of intravenous fluids in surgical patients. Much of this article is devoted to observations and results of clinical trials on surgical patients in Aberdeen Royal Infirmary and Dr Gray’s Hospital, Elgin. To date, the results of early oral rehydration after surgery have been sufficiently encouraging to create changes in the routine fluid resuscitation and management protocols in several areas of surgical practice at these centres.
Similar content being viewed by others
References
Baxter CR. Fluid and electrolyte changes in the early post burn period. Clinics in Plastic Surgery 1: 693–709, 1974
Ellis ME, Watson B, Mandal BK, Dunbar EM, Mokasi A. Contemporary gastroenteritis of infancy: clinical features and prehospital management. British Medical Journal 288: 521–523, 1984
Elrie M, Morgan A, Moore FD. Endocarditis with the indwelling balloon tipped pulmonary artery catheter in burn patients. Journal of Trauma 18: 664–668, 1978
Hodkinson HM. Common symptoms of disease in the elderly, 2nd ed., Blackwell, London, 1980
Ingram DM, Skeiner JH, Post operative gastric emptying. British Journal of Surgery 68: 572–576, 1981
Judge TG. The milieu interieur and aging. In Brocklehurst JC (Ed.) Textbook of geriatric medicine and gerontology, pp. 117–124, Churchill Livingstone, London, 1978
Leiper JB, Maughan RJ. Absorption of water and electrolytes from hypotonic, isotonic and hypertonic solutions. Journal of Physiology 373: 90P, 1986
Leiper JB, Maughan RJ, Davidson J, Gemmel HG, Smith FW. Evaluation of a scintigraphic technique for measurement of gastric emptying of liquids from healthy volunteers. Clinical Science 74 (Suppl. 18): 22P, 1988
Leiper JB, Maughan RJ, Miller JDB, Murray RJ. Enterai versus intravenous fluid and electrolyte replacement after elective cholecystectomy. Clinical Nutrition, in press
Levine GM, Deven JJ, Steiger E, Zunro R. Role of oral intake in maintenance of gut mass and disaccharide activity. Gastroenterology 67: 975–982, 1976
Lewis GB, Hecker JF. Infusion thrombophlebitis. British Journal of Anaesthesia 57: 220–233, 1985
Monafo WW, Chuntrasekul C, Ayvazian VH. Hypertonic sodium solutions in the treatment of burn shock. American Journal of Surgery 126: 778–783, 1972
Phillips PA, Rolls BJ, Ledingham JG, Forsling ML, Morton JJ, et al. Reduced thirst after water deprivation in healthy elderly men. New England Journal of Medicine 311: 753–759, 1984
Remesmyder JP. Topography of tissue oxygen tension changes in acute burn oedema. Archives of Surgery 105: 477–482, 1972
Rowe JW, Shock NW, Defronzo RA. The influence of age on the renal response to water deprivation in man. Nephron 17: 270–278, 1976
Ryan JA, Page CP, Babcook L. Early post operative jejunal feeding of elemental diet in gastrointestinal surgery. American Journal of Surgery 47: 393–403, 1981
Sladen GEG. A review of water and electrolyte transport. In Buland WL, Samuel PK (Eds) Transport across the intestine, Churchill Livingstone, London, 1972
Sladen GE, Dawson AM. Effect of bicarbonate on sodium absorption by the human jejunum. Nature (London) 218: 267–268, 1968
Sladen GE, Dawson AM. Inter-relationships between the absorptions of glucose sodium and water by the normal human jejunum. Clinical Science 36: 119–132, 1969
Waller DG, George CF. Ampoules, infusions, and filters. British Medical Journal 292: 714–715, 1986
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Miller, J.D.B. Other Potential Clinical Uses of Oral Rehydration. Drugs 36 (Suppl 4), 91–98 (1988). https://doi.org/10.2165/00003495-198800364-00012
Published:
Issue Date:
DOI: https://doi.org/10.2165/00003495-198800364-00012