Acute Renal Insufficiency Complicating Major Cardiovascular Surgery
- 1 March 1975
- journal article
- research article
- Published by Wolters Kluwer Health in Annals of Surgery
- Vol. 181 (3), 370-375
- https://doi.org/10.1097/00000658-197503000-00020
Abstract
Thirty-one patients underwent hemodialysis for renal failure as a complication of major cardiovascular surgery at the University of Minnesota (1968-1973). Only eight patients (26%) survived. A review of the literature shows that since the beginning of hemodialysis the mortality of those patients has not improved. Infection was the overwhelming cause of death. The infections were difficult to diagnosis because they were frequently associated with abdominal abscesses that were almost uniformly overlooked. Several possible ways of improving these patients survival are: 1) the use of early operative interventions of second look type; 2) improved hygenic measures in the care of these patients; 3) more selective antibiotic treatment based on frequent reculturing; and 4) daily short dialysis in association with hyperalimentation.Keywords
This publication has 12 references indexed in Scilit:
- Sequential System Failure after Rupture of Abdominal Aortic AneurysmsAnnals of Surgery, 1973
- Improved Survival from Acute Renal Failure after Treatment with Intravenous Essential L-Amino Acids and GlucoseNew England Journal of Medicine, 1973
- Considerations of the middle molecular hypothesis. II. Neuropathy in nehprectomized patients.1973
- A simple method for anticoagulation during pre- and postoperative hemodialysis, avoiding rebound phenomenon.1972
- WHY THE PERSISTENTLY HIGH MORTALITY IN ACUTE RENAL FAILURE ?The Lancet, 1972
- Uremic and non-uremic complications in acute renal failure: Evaluation of early and frequent dialysis on prognosisKidney International, 1972
- A survey of 499 patients with acute anuric renal insufficiencyAmerican Journal Of Medicine, 1963
- PROPHYLACTIC HEMODIALYSIS IN THE TREATMENT OF ACUTE RENAL FAILUREAnnals of Internal Medicine, 1960
- Successful intermittent hemodialysis-longest reported maintenance of life in true oliguria (181 days).1960
- Renal transplantation in azotemic dogs.1960