Hypovolemia With Peripheral Edema: What Is Wrong?
Journal Title: Journal of Surgery Research and Practice - Year 2023, Vol 4, Issue 2
Abstract
I read with great interest this recently published article by Professors Dull RO and Hahn RG [1]. The authors are commended on this review based on evidence from published studies that represent the current understanding of the condition and its scientific basis. The authors have faithfully and factually summarized the evidence based on published reports, including some of the commonly received errors and misconceptions on the scientific foundation that identifying and correcting may help to answer the vitally important question in the title of the report. The authors acknowledge that Starling’s law represents the scientific foundation of the volume-pressure relationship of the vascular, capillary and interstitial fluid compartments. It thus underlies the rules that govern fluid therapy in shock management. This is the subject on which both authors are among the top world authority. My research has demonstrated clearly and completely the substantial evidence that Starling’s law is wrong and the correct replacement is the hydrodynamics of the porous orifice (G) tube that has been gathered in a book [1-3]. This will revolutionize our understanding of the condition and related issues, particularly on the path-etiology and management of Acute Respiratory Distress Syndrome (ARDS). The hydrodynamics of the G tube in a surrounding chamber mimics the capillary-ISF transfer.
Authors and Affiliations
Ahmed NM Ghanem
Keywords
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- EP ID EP718096
- DOI https://doi.org/10.46889/JSRP.2023.4201
- Views 41
- Downloads 0
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