PERITONEAL DIALYSIS IN THE TREATMENT OF RENAL FAILURE: I. THE POSTOPERATIVE AND POST-TRAUMATIC GROUP OF PATIENTS
Abstract
Nine patients with either postoperative or posttraumatic renal failure are presented. These patients were dialyzed on thirteen occasions by the peritoneal route. There was a significant reduction in the elevated serum potassium and a reversal of the abnormal ECG in f ur patients. It was also possible to significantly lower the blood urea nitrogen or prevent its rise in addition to controlling or preventing the appearance of the uremic syndrome in the vast majority of patients. Unfortunately, this did not guarantee survival. Peritoneal dialysis was shown to be efficient in patients who had undergone recent abdominal surgery and that infection was not a problem in these patients. Although overhydration was not a problem in these patients, others were shown in whom pulmonary edema was effectively combated with hyperosmolar dialysis solutions. Complications were few and did not prevent continuance of the procedure. Peritoneal dialysis seems to be particularly suited to the treatment of acute renal failure in the military situation. (Author)
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 1962
- Accession Number
- AD0286650
Entities
People
- Thomas E. Davis
Organizations
- Army Research Office