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May 1955

Acute Renal Failure.

AMA Arch Intern Med. 1955;95(5):764. doi:10.1001/archinte.1955.00250110134027

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This small volume covers the subject of acute renal failure in a remarkably condensed and clear discussion. The pathology of tubular necrosis is described in terms of Oliver's recent studies. The discussions of physiological mechanisms, clinical course, and treatment follow standard current views. The prophylactic treatment in terms of maintenance of circulatory and electrolyte status is appropriately emphasized. Intermittent peritoneal dialysis is given preference among the artificial measures in substituting for renal function. The indications for the use of artificial measures are limited to the treatment for general edema from overhydration, pulmonary edema from left ventricular failure or other causes, high serum potassium concentration, and severe acidosis or intoxication by diffusible drugs. Full details are given for the procedure and the type of solution used in irrigation.

The bibliography is adequate although largely limited to the last ten years.

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