TY  - JOUR
T1  - TReatment of acute renal insufficiency
AU  - Fishman AP
Y1  - 1949/02/12
N1  - 10.1001/jama.1949.02900240051022
JO  - Journal of the American Medical Association
SP  - 473
EP  - 474
VL  - 139
IS  - 7
N2  - To the Editor:— 
    Many measures are currently being advocated for the treatment of acute renal insufficiency. The mechanisms of the renal failure include the various causes of "lower nephron nephrosis" (Lucke, B.: Mil. Surgeon99:371, 1946), mercury poisoning, "reflex anurias," etc. The methods of treatment include peritoneal lavage, various artificial kidneys, perfusion of isolated intestinal loops, etc. The most recent method is that of exchange transfusions (J. A. M. A. 138: 902, 1948). Recovery of the patient is believed due to the replacement therapy; unfortunate results are ascribed to inadequate continuation or repetition of the therapy.Few of the proponents of each specific mode of treatment stress the spontaneous resolution of the anurias. Furthermore, there is no means at present of accelerating the recovery of the injured kidney segment. Any measure available at present may at best tide the patient along to the point of spontaneous recovery.At the
SN  - 0002-9955
M3  - doi: 10.1001/jama.1949.02900240051022
UR  - http://dx.doi.org/10.1001/jama.1949.02900240051022
ER  -