Acute Renal Failure

Some Metabolic Problems in the Management of Renal Failure

“…Nilevar has progestational as well as anabolic activity and presumably it is this combination of effects which confers activity on Nilevar which is not possessed by other equally powerful but less progestational anabolic steroids. Even Nilevar, however, usually has little effect upon the rate of protein breakdown in non‐obstetrical cases of anuria (Kiley, Powers and Beebe 1960).…”

The Alwall Artificial Kidney: An Assessment After One Year

“…Obstetric Shock.-Acute renal failure in association with pregnancy usually follows toxamia, accidental hamorrhage, and postpartum hamorrhage. It had a high recovery rate on conservative therapy alone (Lowe, 1960), and this has been further improved with the advent of the artificial kidney (Bleumle et al, 1959 ;Parsons and McCracken, 1959 ;Thaysen et al, 1959 ;Kiley et al, 1960). The involuting uterus is often the only source of increased tissue breakdown and the blood urea may rise by only 25 to 50 mg. per 100 ml.…”

“…Sex. Intravascular Haemo1ysis.-If the patient survives the initial shock, the prognosis of renal failure following incompatible blood transfusion is reasonable unless the disease which necessitated transfusion is serious ; results in this group, treated conservatively (Bull et al, 1957 ;Lowe, 1960) or with the artificial kidney (Swann and Merrill, 1953 ;Bleumle et al, 1959 ;Parsons and McCracken, 1959 ;Kiley et al, 1960) are intermediate between those of the traumatic and obstetric groups. In each of the five patients treated in this unit (Table VI), renal failure followed transfusion of blood with the correct ABO grouping.…”