The rapidly expanding realm of extracorporeal circulation has created a veritable kaleidoscope of new theory and practice within the scope of modern medicine. Competent surgeons, suddenly confronted with the need to apply a new technique with little precedent, experience a sensation of frustration. The problem is compounded by differences of opinion and incomplete descriptions of methods.
It is the purpose of this paper to discuss the surgical techniques involved in artificial hemodialysis and indicate a preference for modified venovenous exchange based on experiences with six dialyses in three patients.
To understand the technical problems involved in linking a patient to an artificial kidney three questions must be answered:
1. What volume of blood must traverse the dialyzing circuit per unit of time?
2. What expendable vessels are available that will satisfy these requirements?
3. What are the causes of technical failure and how are these avoided? With the answers to
MURDOCK CE. Auriculovenous HemodialysisA Modified Venovenous Technique. AMA Arch Surg. 1960;81(1):53-57. doi:10.1001/archsurg.1960.01300010055008