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British Journal of Anaesthesia, 2001, Vol. 86, No. 4 465-466
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial

Editorial I

KISS and indices of pulmonary oxygen transfer

C.E.W. Hahn

KISS, the well-known acronym for ‘keep it simple, stupid’, is often taken to be good advice for life in general. Not always, though, because simplicity can be very alluring but wrong. A recent editorial1 on septic shock (a complex, not simple subject), in another journal, had the title ‘For every complex problem, there is a solution that is simple ... and wrong’. This writer wishes that he had thought of that clever one-liner.

Suspicion of simplicity could also apply to the whole subject-matter of developing mathematical models and clinically useful indices to describe pulmonary oxygen transfer in the lung. This particular subject has exercised the minds of clinicians and physiologists for decades and forms an essential chapter in textbooks on respiratory physiology, anaesthesia and intensive care medicine. Moreover, for the trainee there is a galaxy of advice, opinions and controversies to be digested.2–7 The experts offer differing advice. The Holy . . . [Full Text of this Article]

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