Acute renal failure. Community hospital experience with hemodialysis as intensive care adjunct.

W. E. Dandy, D. G. Sapir

Research output: Contribution to journalArticle

Abstract

A 3-year experience with 50 acute renal failure patients managed by hemodialysis in a 417-bed community hospital is reviewed. The 58% survival rate was better than that reported in other recent series. Possible reasons for our favorable mortality experience include: (1) Hemodialysis was performed within the ICU facility by the ICU staff. Continuity of total care was thereby maintained and hemodialysis problems, such as maintenance of circulating volume, were managed in the context of continued assessment of the patient's cardiopulmonary status. (2) In contrast to previous reports, the presence of sepsis did not influence recovery rates from acute renal failure. Early administration of specific antibiotics, mainly gentamicin, rapid drainage of abdominal abscesses, and early and frequent dialysis were all utilized in spetic patients and may have contributed to their high recovery rate. (3) The use of agressive dialysis may also have lessened other uremic complications, notably gastrointestinal bleeding. Our dialysis organization and procedures are described.

Original languageEnglish (US)
Pages (from-to)146-149
Number of pages4
JournalCritical Care Medicine
Volume5
Issue number3
StatePublished - May 1977
Externally publishedYes

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Community Hospital
Critical Care
Acute Kidney Injury
Renal Dialysis
Dialysis
Abdominal Abscess
Continuity of Patient Care
Gentamicins
Drainage
Sepsis
Survival Rate
Maintenance
Organizations
Hemorrhage
Anti-Bacterial Agents
Mortality

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Acute renal failure. Community hospital experience with hemodialysis as intensive care adjunct. / Dandy, W. E.; Sapir, D. G.

In: Critical Care Medicine, Vol. 5, No. 3, 05.1977, p. 146-149.

Research output: Contribution to journalArticle

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