PROPHYLACTIC HEMODIALYSIS IN THE TREATMENT OF ACUTE RENAL FAILURE
Authors: P E TESCHAN, C R BAXTER, T F O'BRIEN, J N FREYHOF, W H HALL
Journal: Annals of Internal Medicine (1960)

Article1 November 1960PROPHYLACTIC HEMODIALYSIS IN THE TREATMENT OF ACUTE RENAL FAILUREPAUL E. TESCHAN, CHARLES R. BAXTER, M.D., THOMAS F. O'BRIEN, M.D., JACK N. FREYHOF, WILLIAM H. HALLPAUL E. TESCHAN, CHARLES R. BAXTER, M.D., THOMAS F. O'BRIEN, M.D., JACK N. FREYHOF, WILLIAM H. HALLAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-5-992 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONFollowing the introduction of clinically usable artificial kidneys by Kolff,1Alwall,2Murray3and Skeggs and Leonards,4and the pioneering clinical investigations by Merrill,5, 6hemodialysis has been widely employed in the treatment of acute renal failure§ according to certain conventional indications: (1) definite clinical uremia, and/or (2) hyperkalemia with myocardial potassium intoxication, when either or both progress in spite of a suppressive medical regimen, including cation exchange resins for potassium removal.7-15Such dialysis treatment usually results in a more nearly normal blood chemical pattern and a gratifying clinical improvement, at least in the absence of significantly symptomatic underlying disease.16...Bibliography1. 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DoolanMurphyWigginsCarterCooperWattenAlpen PDWPRANWWCRHEL: An evaluation of intermittent peritoneal lavage, Am. J. Med. 26: 831, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication April 29, 1960.Presented at the Forty-first Annual Session of The American College of Physicians, San Francisco, California, April 5, 1960.From the Renal Branch, U. S. Army Surgical Research Unit, Brooke Army Medical Center, Fort Sam Houston, Texas.†Present address: Department of Surgery, Parkland Memorial Hospital, Dallas, Texas.‡Present address: Department of Bacteriology & Immunology, Harvard Medical School, Boston, Massachusetts.Requests for reprints should be addressed to Paul E. Teschan, Major, MC, USA, Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington 12, D. C.§In this presentation, patients with acute renal failure are identified by oliguria, urinary volume of less than 400 ml./24 hours, with a compensated circulation, patent renal vascular supply, and patent postrenal urinary tract, in the absence of significant chronic renal disease. The phases of acute renal failure are further defined as follows: The oliguric phase is characterized by urinary volume of less than 400 ml./24 hours; the oliguric phase continues until the urinary volume equals or exceeds 1,000 ml./24 hours The day on which this first occurs is termed, for convenience, the "day of diuresis." The "early diuretic phase" begins on the day of diuresis and continues until the day on which azotemia reaches its peak. The latter is the first day of the "late diuretic phase." The late diuretic phase ends on the day that the declining nonprotein nitrogen reaches 30 mg.%. The recovery phase begins at that time. Other workers have defined these terms in a variety of other ways; the conclusions drawn from the experience reported here do not appear to be affected by such differing definitions, however. "High output acute renal failure" refers to the situation in which acute renal failure with significant azotemia is associated with urinary volume greater than 400 ml./24 hours, i.e., those instances in which oliguria does not occur. 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HEPTINSTALL, M.D.Infection as a cause and complication of renal diseaseNEW MEDICAL SCHOOL IN LAGOSHYPERTONIC SODIUM SALTS IN RENAL FAILUREAcute renal failureEFFECT OF DIETARY GLUCOSE AND PROTEIN IN ACUTE RENAL FAILUREAcute suppression of urineUltrafiltration With the MacNeill-Collins Blood Dialyzer 1 November 1960Volume 53, Issue 5Page: 992-1016KeywordsAcute renal failureDiureticsMedical dialysisNecrosisPotassiumProteinsSurgeryToxic agentsUltrafiltrationUrinary tract infections ePublished: 1 December 2008 Issue Published: 1 November 1960 PDF downloadLoading ...