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STORED DEXTROSE-CITRATE PLASMA IN THE TREATMENT OF OPERATIVE SHOCK

EDWARD L. BESSER, M.D.
Arch Surg. 1941;43(3):451-457. doi:10.1001/archsurg.1941.01210150127012.
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There have been several reports dealing with the value of plasma in the treatment of shock.1 This has been the result of the establishment and general acceptance of certain tenets concerning plasma: (1) transfusions of plasma may be given without regard to blood groups; (2) plasma may be obtained from stored whole blood that is too old to use as it is; (3) plasma may be stored for long periods and remain efficacious. The purpose of this paper is to report certain experiences acquired by using plasma in the treatment of shock associated with operative procedures in the surgical service of the University Hospitals.

TYPE OF SHOCK ASSOCIATED WITH OPERATIONS  The problem of defining clinical shock offers considerable difficulty. Certain authors have separated shock and hemorrhage and have described distinguishing features for each. It remains, however, the general practice to designate as shock conditions in which there is an

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