Article

Survey of Dialyses for Acute Renal Failure at Cleveland Clinic Hospital in 1958

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Abstract

THIS report presents the results of our most recent study of records concerning hemodialyses of acutely uremic patients. Our first study1 was an analysis of the records of 38 patients dialyzed for acute renal failure in 1957; our current analysis concerns the records of the 27 patients dialyzed for acute renal failure in 1958. The correlation of the many variables has been facilitated by the McBee punch cards used in both studies.

Methods

Dialysis removes retention products and corrects electrolyte abnormalities; ultrafiltration at the same time may remove excess fluid. The twin-coil disposable artificial kidneys were used, as previously described.1–4 For small children, only one coil was utilized5 and dialysis was continued for four hours; for adults, dialysis usually lasted six hours. The radial artery or greater saphenous vein was used to draw blood from the patient, any other vein to return it. Usually polyvinyl chloride cannulae1 were used. For the saphenous vein, plastic tubing of (French) sizes 12, 14, or 16 with multiple holes was inserted to the level of the inferior vena cava. The catheter was left in place for continuous administration of 40 per cent invert sugar (Travert) if needed.1 If risk of hemorrhage existed, regional heparinization6 was used, and the patient's clotting time was maintained at normal values. While 200 mg. of heparin in 1,000 ml. of 5 per cent dextrose in water was being administered by constant drip under pressure to the blood inflow tube of the artificial kidney, 150 mg. of protamine sulfate . . .


 

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