In-theater peritoneal dialysis for combat-related renal failure.

  title={In-theater peritoneal dialysis for combat-related renal failure.},
  author={J. S. Pina and S. Moghadam and H. Cushner and G. Beilman and Vivian Charles McAlister},
  journal={The Journal of trauma},
  volume={68 5},
BACKGROUND Complications of renal failure may prevent timely evacuation of injured soldiers. Conventional renal replacement therapy is not available in forward surgical units. METHODS Records of in-theater improvised peritoneal dialysis (IPD) in level III hospitals or forward surgical units in Iraq or Afghanistan were reviewed to determine the following: cause of renal failure and associated injuries; type of dialysate, peritoneal access, and exchange technique; and patient outcome. These… Expand
Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management
Peritoneal dialysis is a means of renal replacement therapy that can be performed in remote settings with limited resources, including regions that lack electrical power and the ability to perform PD is essential for many medical facilities. Expand
Early implementation of continuous renal replacement therapy optimizes casualty evacuation for combat-related acute kidney injury
It is suggested that a self-sustaining CRRT program can be successfully implemented in combat support hospitals and provision of this extracorporeal therapy provides physiologic stabilization of casualties who might otherwise succumb to the sequelae of combat-related renal failure. Expand
Peritoneal Dialysis in Acute Kidney Injury: Lessons Learned and Applied
Peritoneal dialysis technical aspects and the possible advantages and limitations of this RRT method will be discussed, and the more recent literature on clinical experience with PD for treatment of AKI will be reviewed. Expand
Managing acute kidney injury in a child with improvised peritoneal dialysis in Kano, Nigeria
A 5½-year-old girl who developed AKI secondary to hemolytic-uremic syndrome and managed with improvised peritoneal dialysis with significant improvement in her clinical and laboratory parameters is described. Expand
Renal replacement therapy in acute kidney injury
The raging debate about dosing of RRT over the past decade seems to be over with the general consensus that increasing RRT dose above a CRRT dose of 20 mL/kg/min may not be beneficial. Expand
Hyperkalemia and Dialysis in the Deployed Setting.
Recommendations are made for the management of patients with, or at risk for, acute kidney injury and hyperkalemia in the austere, deployed environment. Expand
Renal Replacement Therapy Capability for the Treatment of Combat-Associated Acute Kidney Injury: A Historical Perspective to Plan for Future Conflicts.
A series of solutions such as re-enforcing forward deployment of conventional RRT capabilities as well as novel therapies such as improvised dialysis systems or sorbent-based RRT are proposed to satisfy the demands of prolonged field care and austere environments. Expand
Extracorporeal organ support following trauma: The dawn of a new era in combat casualty critical care
Improved survivability of the initial phases of injury can be expected to result in a greater number of physiologically compromised patients prone to MOF surviving later into the hospitalization, and directing a significant portion of current and future clinical expertise and scientific study to advanced organ support techniques is prudent. Expand
Peritoneal Dialysis during Active War.
The use of peritoneal dialysis treatment for both acute and chronic kidney disease patients during war times is discussed, with a focus on patients living within war zones. Expand
Acute Kidney Injury in Active Wars and Other Man-Made Disasters.
If there is no alternative other than prolonged field care, the medical community must be prepared to offer health care and even perform dialysis in austere conditions, which in that case, is the only option to decrease the death toll resulting from AKI. Expand


Renal replacement therapy in support of combat operations.
Future doctrine should be prepared for contingencies in which the incidence of acute kidney injury requiring renal replacement therapy in wartime casualties may be increased as a result of mass crush injury casualties or prolonged evacuation times. Expand
Renal replacement therapy in support of Operation Iraqi Freedom: a tri-service perspective.
The Operation Iraqi Freedom experience has highlighted the needs of injured host nation patients with AKI and future military medical planning will need to account for their intratheater renal care, calling for flexibility in the provision of care. Expand
Acute renal failure during the Korean War.
Renal function was depressed in most battle casualties in proportion to the severity of their wounds and blood loss, and ARF was revealed as a wasting disease complicated by infections, poor wound healing until diuresis occurred, anemia and bleeding, and hypertension during dialyses and in early diURESis. Expand
Successful peritoneal dialysis using 0.9% sodium chloride with modified M/6 sodium lactate solution and recycled catheters.
In poor countries with limited dialysis facilities, the use of 0.9% sodium chloride with modified M/6 sodium lactate solutions for PD and reuse of acute PD catheters are effective, safe and cost-saving. Expand
Jonathan Rhoads, MD: 1907–2002
His active professional career spanned the last three-quarters of the century and was responsible for the development of total parenteral nutrition, one of the most important medical advances of that period. Expand
A War for all Seasons (M*A*S*H
  • Season 9,
  • 1980
A War for all Seasons ( M * A * S * H , Season 9 , 29 December ) 1980