October 17, 1966

Technique Manages Chronic Uremia

JAMA. 1966;198(3):46. doi:10.1001/jama.1966.03110160020009

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Intermittent peritoneal dialysis is an effective means of managing chronic uremia in some patients who no longer respond to conventional therapy.

At the Mount Sinai Hospital, Cleveland, 26 patients with end stage kidney disease have been placed on a program of intermittent peritoneal lavage.

Satisfactory Response  A satisfactory response was achieved in 13 patients, Victor Vertes, MD, and Allan Harris, MD, reported to the Third International Congress of Nephrology.Eight patients who did not have sufficient residual renal function were transferred to a chronic hemodialysis program. Five patients died who did not derive sufficient clinical benefit from their first peritoneal lavage.The rate of regression following dialysis and the patient's urine volume appear to be the two criteria determining whether or not this technique will be successful."It has been our experience that patients with a urine volume of greater than 500 cc/day and with a rate of regression such