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

@article{Pina2010IntheaterPD,
  title={In-theater peritoneal dialysis for combat-related renal failure.},
  author={Joseph S Pina and Soraya Moghadam and Howard M. Cushner and Gregory J Beilman and Vivian Charles McAlister},
  journal={The Journal of trauma},
  year={2010},
  volume={68 5},
  pages={
          1253-6
        }
}
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… 

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Recommendations are made for the management of patients with, or at risk for, acute kidney injury and hyperkalemia in the austere, deployed environment.

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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.

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The first case regards a 4-year-old boy who presented with fever and vomiting lasting since 3 weeks and was diagnosed with severe and complicated malaria, encompassing stage III acute kidney injury (AKI), cerebral malaria, severe anemia, and gram-negative septicemia.

Peritoneal Dialysis during Active War.

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