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An Evaluation of the Management of Acute Renal Failure with Dialysis

AMA Arch Intern Med. 1958;102(6):871-880. doi:10.1001/archinte.1958.00260230017004.
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This paper proposes to analyze data obtained on 38 patients with acute renal failure treated by dialysis at the Cleveland Clinic Hospital in 1957 and to demonstrate the use of a punch-card system for correlating 166 variables. The latter deserves wider use, and if generally adopted for analysis of acute renal failure, a nation-wide survey might profitably be done.*

Methods  Fluid intake was restricted to 600 ml/24 hours if anuria existed.1 Electrolytes were not administered unless they were demonstrably lost.2 A forced high-caloric low-protein regimen was instituted as far as was practical.3 If dialysis was indicated, twin-coil artificial kidneys f were used. The technique has been described.4-6The purpose of the artificial kidney is to remove retention products and correct electrolyte abnormalities; at the same time ultrafiltration may remove edema fluid. In small children only one coil was utilized and dialysis was done for four hours.


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