BETTER understanding of water and electrolyte balance and new concepts of treatment have made conservative management of uremia more effective. The majority of patients with acute urinary suppression now recover, but their management remains difficult, and the results are not always satisfactory; death still takes a toll.
Hemodialysis should not be considered a competitor but, rather, a valuable adjunct to the medical management of acute and chronic uremia. This report reviews the principles, techniques, indications, and dangers of various dialyzing procedures.
I. EVALUATION OF ARTIFICIAL KIDNEY
Statistics concerning increased survival with the use of an artificial kidney are scarce. Hollingsworth Smith reported at a committee meeting of the National Research Council, in Washington, March 18, 1953, that the mortality rate of severely wounded anuric soldiers in Korea was reduced from approximately 90% to 60% when an artificial kidney was employed behind the front lines. Such reports are encouraging, but, owing
KOLFF WJ. DIALYSIS IN TREATMENT OF UREMIA: Artificial Kidney and Peritoneal Lavage. AMA Arch Intern Med. 1954;94(1):142–160. doi:10.1001/archinte.1954.00250010148012
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