0
June 1955, Vol 89, No. 6 >
Article | June 1955

Hemodialysis of the Uremic Child FREE

F. M. MATEER, M.D.; L. GREENMAN, M.D.; T. S. DANOWSKI, M.D.
[+] Author Affiliations

Aided by a grant from the American Heart Association and the Committee on Research of the Council on Pharmacy and Chemistry of the American Medical Association.

References 1-3.

References 4-8.

References 9-13.

References 16-18.

References 20-22.


AMA Am J Dis Child. 1955;89(6):645-655. doi:10.1001/archpedi.1955.02050110785001.
Text Size: A A A
Published online
Article
References
Comments

Vividialysis has proved itself useful in adults with renal disorders in which the fluid disturbances of uremia threaten life before reparative processes can restore kidney function. Two methods of dialysis have been employed: (1) lavage of a membrane within the body, either the peritoneum or an isolated loop of bowel, by dialyzing fluid,* and (2) extracorporeal hemodialysis in an artificial kidney using cellophane to separate the patient's blood from the lavage fluid.† Although the number of such dialyses performed in adult subjects can now be counted in hundreds,‡ the use of either method in therapy of children with far-advanced renal failure has been relatively infrequent. Peritoneal lavage in three uremic children was described by Swan, in 1949.14 However, due to various difficulties reported, such as occlusion of the siphon apparatus, loss of body protein, inability to regulate transfers of water and of electrolytes, and the danger of infection, we

REFERENCES

1 +
Rhoads, J. E.:  Peritoneal Lavage in Treatment of Renal Insufficiency , Acad. M. Sc. 196:642-647 ( (Nov.) ) 1938;.
2 +
Odel, H. M.; Ferris, D. 0., and Power, M. H.:  Peritoneal Lavage as Effective Means of Extrarenai Excretion: Clinical Appraisal , Am. J. Med. 9:63-77 ( (July) ) 1950;.
3 +
Muirhead, E. E. ; Small, A. B. ; Haley, A. E., and Hill, J. M.:  Peritoneal Irrigation for Acute Renal Damage Following Incompatible Blood Transfusion: Discussion Based on 3 Cases , J. Lab. & Clin. Med. 32:988-1001 ( (Aug.) ) 1947;.
4 +
Abel, J. J. ; Rowntree, L. C, and Turner, B. B.:  On the Removal of Diffusible Substances from the Circulating Blood of Living Animals by Dialysis , J. Pharmacol. & Exper. Therap. 5:275-316 ( (Jan.) ) 1913-1914;.
5 +
Necheles, H.:  Über dialysieren des stomenden blutes and lebenden , Klin. Wchnschr. 2:1257 ( (July 2) ) 1923;.
6 +
Darmady, E. M.:  Dialysis of Blood for Treatment of Uremia , Proc. Roy. Soc. Med. 41:418-419 ( (Jan. 22) ) 1928;.
7 +
Kolff, W. J., and Berk, H. T. J.:  Artificial Kidney: Dialyser with Great Area , Acta. med. scandinav. 117:121-134, 1944;.
8 +
Alwall, N.:  On Artificial Kidney: XI. Some Supplementary Constructional Details of Dialyser Intended for Rabbit and Homo , Acta. med. scandinav. (Supp. 229) , pp. 20-21, 1949;.
9 +
Kolff, W. J.: New Ways of Treating Uraemia: Artificial Kidney, Peritoneal Lavage, Intestinal Lavage , London, J. & A. Churchill, Ltd., 1947;, p. 111.
10 +
Teschan, P. E. ; Post, R. S., and Smith, L. H., Jr.:  Metabolic Behavior of Patients with Post-Traumatic Renal Insufficiency , Clin. Res. Proc. 2:98-99 ( (April) ) 1954;.
11 +
Swann, R. C, and Merrill, J, P.:  Clinical Course of Acute Renal Failure , Medicine 32:215-292 ( (Sept.) ) 1953;.
12 +
Murray, G. ; Delorme, E., and Thomas, N.:  Development of Artificial Kidney: Experimental and Clinical Experiences , Arch. Surg. 55:505-522 ( (Nov.) ) 1947;.
13 +
Alwall, N. ; Noviit, L., and Steins, A. M.:  On Artificial Kidney: VII. Clinical Experiences of Dialytic Treatment of Uremia , Acta med. scandinav. 132:587-602, 1949;.
14 +
Swan, H., and Gordon, H. H.:  Peritoneal Lavage in Treatment of Anuria in Children , Pediatrics 4:586-595 ( (Nov.) ) 1949;.
15 +
Skeggs, L. T., Jr. ; Leonards, J. R., and Heisler, C. R.:  Artificial Kidney: II. Construction and Operation of Improved Continuous Dialyzer , Proc. Soc. Exper. Biol. & Med. 72:539-543 ( (Dec.) ) 1949;.
16 +
Lowsley, O. S., and Kirwin, T. J.:  Artificial Kidney: Preliminary Report , J. Urol. 65:163-176 ( (Feb.) ) 1951;.
17 +
Rosenak, S. S., and Saltzman, A.:  New Dialyzer for Use as Artificial Kidney , Proc. Soc. Exper. Biol. & Med. 76:471-475 ( (March) ) 1951;.
18 +
Guarino, J. R., and Guarino, L. J.:  Artificial Kidney—A Simplified Apparatus , Science 115:285-288 ( (March 14) ) 1952;.
19 +
Goldner, F. ; Gordon, G. L., and Danzig, L. E.:  Use of Artificial Kidney in Chronic Renal Disease , A. M. A. Arch. Int. Med. 93:61-74 ( (Jan.) ) 1954;.
20 +
Doolan, P. D. ; Walsh, W. P.; Kyle, L. H., and Wishinsky, H.:  Acetylsalicylic Acid Intoxication: A Proposed Method of Treatment , J. A. M. A. 146:105-106 ( (May 12) ) 1951;.
21 +
Walsh, W. P.; Kyle, L. H.; Doolan, P. D., and Jeghers, H. J.:  Treatment of Barbiturate Poisoning by Hemodialysis , Am. J. Med. 13:104-105 ( (July) ) 1952;.
22 +
Merrill, J. P., and Weiler, J. M.:  Treatment of Bromism with Artificial Kidney , Ann. Int. Med. 37:186-190 ( (July) ) 1952;.
23 +
Danowski, T. S., and Elkinton, J. R.: Body Fluids: Basic Physiology and Practical Therapeutics , Baltimore, Williams & Wilkins Company, to be published.
24 +
Danowski, T. S.; Greenman, L.; Mateer. F. M. ; Parsons, W. B. ; Weigand, F. A. ; Mer- melstein, H., and Peters, J. H.:  Carboxylic Cation Exchange Resin Effects in Dogs , J. Clin. Invest. 30:984-994 ( (Sept.) ) 1951;.
25 +
Merrill, J. P. ; Levine, H. D. ; Somerville, W., and Smith, S.:  Clinical Recognition and Treatment of Acute Postassium Intoxication , Ann. Int. Med. 33:797-830 ( (Oct.) ) 1950;.
26 +
Hoff, H. E.; Smith, P. K., and Winkler, A. W.:  The Cause of Death in Experimental Anuria , J. Clin. Invest. 20:607-624 ( (Nov.) ) 1941;.
27 +
Kohn, R. M., and Kiley, J. E.:  Electrocardiographic Changes During Hemodialysis with Observations on Contribution of Electrolyte Disturbances to Digitalis Toxicity , Ann. Int. Med. 38:36-50 ( (July) ) 1953;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Rhoads, J. E.:  Peritoneal Lavage in Treatment of Renal Insufficiency , Acad. M. Sc. 196:642-647 ( (Nov.) ) 1938;.
2 +
Odel, H. M.; Ferris, D. 0., and Power, M. H.:  Peritoneal Lavage as Effective Means of Extrarenai Excretion: Clinical Appraisal , Am. J. Med. 9:63-77 ( (July) ) 1950;.
3 +
Muirhead, E. E. ; Small, A. B. ; Haley, A. E., and Hill, J. M.:  Peritoneal Irrigation for Acute Renal Damage Following Incompatible Blood Transfusion: Discussion Based on 3 Cases , J. Lab. & Clin. Med. 32:988-1001 ( (Aug.) ) 1947;.
4 +
Abel, J. J. ; Rowntree, L. C, and Turner, B. B.:  On the Removal of Diffusible Substances from the Circulating Blood of Living Animals by Dialysis , J. Pharmacol. & Exper. Therap. 5:275-316 ( (Jan.) ) 1913-1914;.
5 +
Necheles, H.:  Über dialysieren des stomenden blutes and lebenden , Klin. Wchnschr. 2:1257 ( (July 2) ) 1923;.
6 +
Darmady, E. M.:  Dialysis of Blood for Treatment of Uremia , Proc. Roy. Soc. Med. 41:418-419 ( (Jan. 22) ) 1928;.
7 +
Kolff, W. J., and Berk, H. T. J.:  Artificial Kidney: Dialyser with Great Area , Acta. med. scandinav. 117:121-134, 1944;.
8 +
Alwall, N.:  On Artificial Kidney: XI. Some Supplementary Constructional Details of Dialyser Intended for Rabbit and Homo , Acta. med. scandinav. (Supp. 229) , pp. 20-21, 1949;.
9 +
Kolff, W. J.: New Ways of Treating Uraemia: Artificial Kidney, Peritoneal Lavage, Intestinal Lavage , London, J. & A. Churchill, Ltd., 1947;, p. 111.
10 +
Teschan, P. E. ; Post, R. S., and Smith, L. H., Jr.:  Metabolic Behavior of Patients with Post-Traumatic Renal Insufficiency , Clin. Res. Proc. 2:98-99 ( (April) ) 1954;.
11 +
Swann, R. C, and Merrill, J, P.:  Clinical Course of Acute Renal Failure , Medicine 32:215-292 ( (Sept.) ) 1953;.
12 +
Murray, G. ; Delorme, E., and Thomas, N.:  Development of Artificial Kidney: Experimental and Clinical Experiences , Arch. Surg. 55:505-522 ( (Nov.) ) 1947;.
13 +
Alwall, N. ; Noviit, L., and Steins, A. M.:  On Artificial Kidney: VII. Clinical Experiences of Dialytic Treatment of Uremia , Acta med. scandinav. 132:587-602, 1949;.
14 +
Swan, H., and Gordon, H. H.:  Peritoneal Lavage in Treatment of Anuria in Children , Pediatrics 4:586-595 ( (Nov.) ) 1949;.
15 +
Skeggs, L. T., Jr. ; Leonards, J. R., and Heisler, C. R.:  Artificial Kidney: II. Construction and Operation of Improved Continuous Dialyzer , Proc. Soc. Exper. Biol. & Med. 72:539-543 ( (Dec.) ) 1949;.
16 +
Lowsley, O. S., and Kirwin, T. J.:  Artificial Kidney: Preliminary Report , J. Urol. 65:163-176 ( (Feb.) ) 1951;.
17 +
Rosenak, S. S., and Saltzman, A.:  New Dialyzer for Use as Artificial Kidney , Proc. Soc. Exper. Biol. & Med. 76:471-475 ( (March) ) 1951;.
18 +
Guarino, J. R., and Guarino, L. J.:  Artificial Kidney—A Simplified Apparatus , Science 115:285-288 ( (March 14) ) 1952;.
19 +
Goldner, F. ; Gordon, G. L., and Danzig, L. E.:  Use of Artificial Kidney in Chronic Renal Disease , A. M. A. Arch. Int. Med. 93:61-74 ( (Jan.) ) 1954;.
20 +
Doolan, P. D. ; Walsh, W. P.; Kyle, L. H., and Wishinsky, H.:  Acetylsalicylic Acid Intoxication: A Proposed Method of Treatment , J. A. M. A. 146:105-106 ( (May 12) ) 1951;.
21 +
Walsh, W. P.; Kyle, L. H.; Doolan, P. D., and Jeghers, H. J.:  Treatment of Barbiturate Poisoning by Hemodialysis , Am. J. Med. 13:104-105 ( (July) ) 1952;.
22 +
Merrill, J. P., and Weiler, J. M.:  Treatment of Bromism with Artificial Kidney , Ann. Int. Med. 37:186-190 ( (July) ) 1952;.
23 +
Danowski, T. S., and Elkinton, J. R.: Body Fluids: Basic Physiology and Practical Therapeutics , Baltimore, Williams & Wilkins Company, to be published.
24 +
Danowski, T. S.; Greenman, L.; Mateer. F. M. ; Parsons, W. B. ; Weigand, F. A. ; Mer- melstein, H., and Peters, J. H.:  Carboxylic Cation Exchange Resin Effects in Dogs , J. Clin. Invest. 30:984-994 ( (Sept.) ) 1951;.
25 +
Merrill, J. P. ; Levine, H. D. ; Somerville, W., and Smith, S.:  Clinical Recognition and Treatment of Acute Postassium Intoxication , Ann. Int. Med. 33:797-830 ( (Oct.) ) 1950;.
26 +
Hoff, H. E.; Smith, P. K., and Winkler, A. W.:  The Cause of Death in Experimental Anuria , J. Clin. Invest. 20:607-624 ( (Nov.) ) 1941;.
27 +
Kohn, R. M., and Kiley, J. E.:  Electrocardiographic Changes During Hemodialysis with Observations on Contribution of Electrolyte Disturbances to Digitalis Toxicity , Ann. Int. Med. 38:36-50 ( (July) ) 1953;.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems