Skip to main content
NCBI home page
Annals of Surgery logoLink to Annals of Surgery
. 1975 Mar;181(3):370–375. doi: 10.1097/00000658-197503000-00020

Acute renal insufficiency complicating major cardiovascular surgery.

R Casali, R L Simmons, J S Najarian, B von Haritizsch, T J Buselmeier, C M Kjellstrand
PMCID: PMC1343863  PMID: 1130853

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.

Full text

PDF
370

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abel R. M., Beck C. H., Jr, Abbott W. M., Ryan J. A., Jr, Barnett G. O., Fischer J. E. Improved survival from acute renal failure after treatment with intravenous essential L-amino acids and glucose. Results of a prospective, double-blind study. N Engl J Med. 1973 Apr 5;288(14):695–699. doi: 10.1056/NEJM197304052881401. [DOI] [PubMed] [Google Scholar]
  2. BALSLOV J. T., JORGENSEN H. E. A survey of 499 patients with acute anuric renal insufficiency. Causes, treatment, complications and mortality. Am J Med. 1963 Jun;34:753–764. doi: 10.1016/0002-9343(63)90084-6. [DOI] [PubMed] [Google Scholar]
  3. Howard R. J., Simmons R. L. Acquired immunologic deficiencies after trauma and surgical procedures. Surg Gynecol Obstet. 1974 Nov;139(5):771–782. [PubMed] [Google Scholar]
  4. Kjellstrand C. M., Buselmeier T. J. A simple method for anticoagulation during pre- and postoperative hemodialysis, avoiding rebound phenomenon. Surgery. 1972 Oct;72(4):630–633. [PubMed] [Google Scholar]
  5. Kjellstrand C. M., Petersen R. J., Evans R. L., Shideman J. R., von Hartitzsch B., Buselmeier T. J. Considerations of the middle molecular hypothesis. II. Neuropathy in nehprectomized patients. Trans Am Soc Artif Intern Organs. 1973;19:325–336. [PubMed] [Google Scholar]
  6. Kleinknecht D., Jungers P., Chanard J., Barbanel C., Ganeval D. Uremic and non-uremic complications in acute renal failure: Evaluation of early and frequent dialysis on prognosis. Kidney Int. 1972 Mar;1(3):190–196. doi: 10.1038/ki.1972.26. [DOI] [PubMed] [Google Scholar]
  7. MAHER J. F., SCHREINER G. E., WATERS T. J. Successful intermittent hemodialysis-longest reported maintenance of life in true oliguria (181 days). Trans Am Soc Artif Intern Organs. 1960 Apr 10;6:123–142. [PubMed] [Google Scholar]
  8. MANNICK J. A., POWERS J. H., MITHOEFER J., FERREBEE J. W. Renal transplantation in azotemic dogs. Surgery. 1960 Feb;47:340–345. [PubMed] [Google Scholar]
  9. Pollard M., Sharon N. Chemotherapy of spontaneous leukemia in germfree AKR mice. J Natl Cancer Inst. 1970 Oct;45(4):677–680. [PubMed] [Google Scholar]
  10. Stott R. B., Cameron J. S., Ogg C. S., Bewick M. Why the persistently high mortality in acute renal failure. Lancet. 1972 Jul 8;2(7767):75–79. doi: 10.1016/s0140-6736(72)91562-0. [DOI] [PubMed] [Google Scholar]
  11. TESCHAN P. E., BAXTER C. R., O'BRIEN T. F., FREYHOF J. N., HALL W. H. Prophylactic hemodialysis in the treatment of acute renal failure. Ann Intern Med. 1960 Nov;53:992–1016. doi: 10.7326/0003-4819-53-5-992. [DOI] [PubMed] [Google Scholar]
  12. Tilney N. L., Bailey G. L., Morgan A. P. Sequential system failure after rupture of abdominal aortic aneurysms: an unsolved problem in postoperative care. Ann Surg. 1973 Aug;178(2):117–122. doi: 10.1097/00000658-197308000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES