Management of post-traumatic acute renal failure with peritoneal dialysis

T. R. Howdieshell, W. E. Blalock, P. A. Bowen, M. L. Hawkins, C. Hess

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

To evaluate the efficacy of peritoneal dialysis (PD) in the management of post-traumatic renal failure, the authors reviewed the courses of five critically injured patients treated with PD over an 18-month period. Each patient had a double-cuffed PD catheter inserted through a subcutaneous tunnel with PD initiated within 48 hours. The dialysis prescription was individualized for each patient with frequent exchanges performed using either a manual manifold system or a continuous cycling machine. Three of the five patients survived and none of the survivors required dialytic therapy at discharge. Duration of PD ranged from 10 to 57 days. Three patients required intermittent hemodialysis (HD) due to progressive azotemia and hyperkalemia. Two patients developed bacterial peritonitis and three patients developed hyperglycemia with PD continuing without interruption in each patient. When compared to HD, PD offers the advantages of better hemodynamic tolerance, no anticoagulation, no vascular access, and a reduced personnel requirement if continuous cyclic PD is used.

Original languageEnglish (US)
Pages (from-to)378-382
Number of pages5
JournalAmerican Surgeon
Volume58
Issue number6
StatePublished - Jan 1 1992

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Peritoneal Dialysis
Acute Kidney Injury
Renal Dialysis
Azotemia
Hyperkalemia
Peritonitis
Hyperglycemia
Renal Insufficiency
Prescriptions
Blood Vessels
Survivors
Dialysis
Catheters
Hemodynamics

ASJC Scopus subject areas

  • Surgery

Cite this

Howdieshell, T. R., Blalock, W. E., Bowen, P. A., Hawkins, M. L., & Hess, C. (1992). Management of post-traumatic acute renal failure with peritoneal dialysis. American Surgeon, 58(6), 378-382.

Management of post-traumatic acute renal failure with peritoneal dialysis. / Howdieshell, T. R.; Blalock, W. E.; Bowen, P. A.; Hawkins, M. L.; Hess, C.

In: American Surgeon, Vol. 58, No. 6, 01.01.1992, p. 378-382.

Research output: Contribution to journalArticle

Howdieshell, TR, Blalock, WE, Bowen, PA, Hawkins, ML & Hess, C 1992, 'Management of post-traumatic acute renal failure with peritoneal dialysis', American Surgeon, vol. 58, no. 6, pp. 378-382.
Howdieshell TR, Blalock WE, Bowen PA, Hawkins ML, Hess C. Management of post-traumatic acute renal failure with peritoneal dialysis. American Surgeon. 1992 Jan 1;58(6):378-382.
Howdieshell, T. R. ; Blalock, W. E. ; Bowen, P. A. ; Hawkins, M. L. ; Hess, C. / Management of post-traumatic acute renal failure with peritoneal dialysis. In: American Surgeon. 1992 ; Vol. 58, No. 6. pp. 378-382.
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