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January 15, 1968

Peritoneal Dialysis for The Respiratory Distress Syndrome

Author Affiliations

East Meadow, NY

JAMA. 1968;203(3):235. doi:10.1001/jama.1968.03140030067030

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To the Editor:—  Your recent article concerning hemodialysis (202:302, 1967) as a possible therapy for respiratory distress syndrome prompts me to describe our recent experience with peritoneal dialysis for this disease.Our first patient was a premature boy with birth weight 1.2 kg (2 lb 11 oz.). At age six hours his arterialized capillary blood pH was 7.16; Pco2, 95; and serum potassium level, 8.5 mEq/ liter. He had respiratory distress syndrome clinically and confirmed by chest roentgenogram. Peritoneal dialysis with a dialysis solution containing 1.5% glucose (and to which we added 5 mEq/liter of potassium) was begun promptly by the usual method. Aliquots of 60 ml were infused into the peritoneal cavity each hour and drained through a dialysis catheter at the end of each hour.Subsequent blood determinations were as follows: (at age nine hours) pH, 7.31; Pco2, 30; and potassium, 6.1 mEq/liter;