Textbook coverage of a common topic: fluid management of patients after surgery
Textbook coverage of a common topic: fluid management of patients after surgery
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DOI：
10.1111/j.1365-2923.2008.03009.x
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发表时间：
2008-06-01
影响因子：
6
通讯作者：
Drummond, Gordon B.
中科院分区：
文献类型：
--
作者：
Chawla, Gunjan;Drummond, Gordon B.
背景维持液体疗法是一个千变万化的话题，但在临床上经常管理不善。我们对医学生的教学引发了人们的怀疑：教科书提供的信息有限。方法我们查阅了出版商的教科书目录，找到了22本适合的书。在编制了静脉治疗问题的标准清单后，我们阅读每本书，了解它在多大程度上提供了答案，并列出了获得的信息。结果只有13本书回答了一半以上的问题。这些信息差异很大。每日液体、钠、钾的建议需要量千差万别。结论标准教科书中提供的指导液体处方的信息缺乏且多种多样。这可能是初级医生开出糟糕的术后液体的一个令人信服的原因：教科书中的信息不充分，而且每本书都不同。覆盖率不高的原因尚不清楚。也许通常管理不善的其他常见主题也是；标准书籍也没有很好地解决。
CONTEXT Maintenance fluid therapy is a protean topic but is clinically often in mismanaged. Our teaching of medical students led its to suspect: that textbooks provide limited information about. the topic, so we set out to verify this possibility by reviewing the content of books written in English that covered perioperative care.METHODS We reviewed publishers' lists of textbooks and found 22 suitable books. After compiling :a standard list of questions on intravenous therapy, we read each book to find out to what extent it delivered the answers, and listed the information obtained.RESULTS Only 13 books answered more than half of the questions. The information varied considerably. Suggested quantities of daily fluid, sodium and potassium requirements varied hugely.CONCLUSIONS Information provided in standard textbooks to guide fluid prescription is scant and variable. This could be a cogent reason why junior doctors prescribe postoperative fluids badly: the information in textbooks is inadequate and varies from book to book. The reasons for the poor coverage are not clear. Perhaps other common topics that are often poorly managed are;also badly addressed by standard books.