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Thomas V. Berne, MD; Benjamin H. Barbour, MD

AMA Arch Surg. 1971;102(6):594-597.

Abstract
Eighteen postoperative surgical patients with acute renal failure were treated by hemodialysis. Trauma and operations for abdominal aortic vascular disease predominated as etiologic factors. Hypotension was the most common etiologic mechanism and occurred in 14 patients. In two cases kanamycin sulfate-treated sepsis preceded renal failure without hypotension. There was one case each of prolonged clamping of the aorta above the renal arteries and traumatic thrombosis of the aorta. There were 12 deaths, none of them attributable to failure of the dialysis method. Most deaths were due to sepsis, gastrointestinal tract bleeding, and acute pulmonary insufficiency.

Author Affiliations
Los Angeles

From the departments of surgery (Dr. Berne) and medicine (Dr. Barbour), University of Southern California School of Medicine and Los Angeles County-USC Medical Center.

Footnotes
Accepted for publication Feb 10, 1971.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 16, 1971.

Reprint requests to Department of Surgery, University of Southern California School of Medicine, Los Angeles 90033 (Dr. Berne).

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