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Hemodialysis for Chronic Renal Failure: Clinical Observations

Hemodialysis for Chronic Renal Failure: Clinical Observations Abstract REPETITIVE maintenance hemodialysis can be a satisfactory means of life prolongation and rehabilitation for selected patients with terminal, irreversible renal failure.1 This communication summarizes the experience of a program of intermittent maintenance hemodialysis for 21 patients treated for periods of one to 21 months, as of July 1966. Methods Patients were selected for maintenance hemodialysis by a committee composed of the authors. Selection criteria included (1) presence of terminal, irreversible renal failure of such severity that conservative management would not support life, (2) absence of other life-threatening diseases, (3) a sufficient degree of understanding and motivation on the part of the patient suggesting his ability to participate in continuing hemodialysis without forseeable ending. Twenty of the patients selected were residents of New York city, and one patient was referred from Israel. Approximately one third of the patients reviewed by the committee were rejected. The most frequent reason for rejection References 1. Pendras, J.P., and Erickson, R.V.: Hemodialysis: A Successful Therapy for Chronic Uremia , Ann Intern Med 64:293, 1966.Crossref 2. McDonald, H.P., et al: Design, Equipment, and Function of a Fifteen-Bed Hemodialysis Unit , Trans Amer Soc Artif Intern Organs 12:370, 1966. 3. Quinton, W.E., et al: Eight Months' Experience With Silastic-Teflon Bypass Cannulas , Trans Amer Soc Artif Intern Organs 8:236, 1962.Crossref 4. Rosen, S.M.; O'Connor, K.; and Shaldon, S.: Haemodialysis Disequilibrium , Brit Med J 2:672, 1964.Crossref 5. Kennedy, A.C., et al: The Pathogenesis and Prevention of Cerebral Dysfunction During Dialysis , Lancet 1:790, 1964.Crossref 6. Hayes, C.P., Jr., and Robinson, R.R.: Fecal Potassium Excretion in Patients on Chronic Intermittent Hemodialysis , Trans Amer Soc Artif Intern Organs 11:242, 1965.Crossref 7. Maher, J.F., et al: Regional Heparinization for Hemodialysis: Technic and Clinical Experience , New Eng J Med 268:451, 1963.Crossref 8. Hager, E.B.: Clinical Observations on Five Patients With Uremic Pericardial Tamponade , New Eng J Med 273:304, 1965.Crossref 9. Friedman, E.A., and Thomson, G.E.: Hepatitis Complicating Chronic Hemodialysis , Lancet 2:675, 1966.Crossref 10. Lasker, N.; Harvey, A.; and Baker, H.: Vitamin Levels in Hemodialysis and Intermittent Peritoneal Dialysis , Trans Amer Soc Artif Intern Organs 9:51, 1963. 11. Relman, A.S., and Levinsky, N.G.: " Clinical Examination of Renal Function ," in Strauss, M.B., and Welt, L.G. (eds.): Diseases of the Kidney , Boston: Little, Brown & Co., 1963, p 102. 12. Caner, J.E.Z., and Decker, J.L.: Recurrent Acute (?Gouty) Arthritis in Chronic Renal Failure Treated With Periodic Hemodialysis , Amer J Med 36:571, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Hemodialysis for Chronic Renal Failure: Clinical Observations

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00300020025002
Publisher site
See Article on Publisher Site

Abstract

Abstract REPETITIVE maintenance hemodialysis can be a satisfactory means of life prolongation and rehabilitation for selected patients with terminal, irreversible renal failure.1 This communication summarizes the experience of a program of intermittent maintenance hemodialysis for 21 patients treated for periods of one to 21 months, as of July 1966. Methods Patients were selected for maintenance hemodialysis by a committee composed of the authors. Selection criteria included (1) presence of terminal, irreversible renal failure of such severity that conservative management would not support life, (2) absence of other life-threatening diseases, (3) a sufficient degree of understanding and motivation on the part of the patient suggesting his ability to participate in continuing hemodialysis without forseeable ending. Twenty of the patients selected were residents of New York city, and one patient was referred from Israel. Approximately one third of the patients reviewed by the committee were rejected. The most frequent reason for rejection References 1. Pendras, J.P., and Erickson, R.V.: Hemodialysis: A Successful Therapy for Chronic Uremia , Ann Intern Med 64:293, 1966.Crossref 2. McDonald, H.P., et al: Design, Equipment, and Function of a Fifteen-Bed Hemodialysis Unit , Trans Amer Soc Artif Intern Organs 12:370, 1966. 3. Quinton, W.E., et al: Eight Months' Experience With Silastic-Teflon Bypass Cannulas , Trans Amer Soc Artif Intern Organs 8:236, 1962.Crossref 4. Rosen, S.M.; O'Connor, K.; and Shaldon, S.: Haemodialysis Disequilibrium , Brit Med J 2:672, 1964.Crossref 5. Kennedy, A.C., et al: The Pathogenesis and Prevention of Cerebral Dysfunction During Dialysis , Lancet 1:790, 1964.Crossref 6. Hayes, C.P., Jr., and Robinson, R.R.: Fecal Potassium Excretion in Patients on Chronic Intermittent Hemodialysis , Trans Amer Soc Artif Intern Organs 11:242, 1965.Crossref 7. Maher, J.F., et al: Regional Heparinization for Hemodialysis: Technic and Clinical Experience , New Eng J Med 268:451, 1963.Crossref 8. Hager, E.B.: Clinical Observations on Five Patients With Uremic Pericardial Tamponade , New Eng J Med 273:304, 1965.Crossref 9. Friedman, E.A., and Thomson, G.E.: Hepatitis Complicating Chronic Hemodialysis , Lancet 2:675, 1966.Crossref 10. Lasker, N.; Harvey, A.; and Baker, H.: Vitamin Levels in Hemodialysis and Intermittent Peritoneal Dialysis , Trans Amer Soc Artif Intern Organs 9:51, 1963. 11. Relman, A.S., and Levinsky, N.G.: " Clinical Examination of Renal Function ," in Strauss, M.B., and Welt, L.G. (eds.): Diseases of the Kidney , Boston: Little, Brown & Co., 1963, p 102. 12. Caner, J.E.Z., and Decker, J.L.: Recurrent Acute (?Gouty) Arthritis in Chronic Renal Failure Treated With Periodic Hemodialysis , Amer J Med 36:571, 1964.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1967

References