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W E Dandy

Publications and source records attributed to W E Dandy.

6 recordsLinked to original sources
PubMed1979

Acute renal failure after ruptured abdominal aortic aneurysm: an improved clinical prognosis.

Eleven cases of renal failure associated with resection of ruptured abdominal aortic aneurysm and requiring hemodialysis are reported. Previously described series have emphasized the extremely high mortality rate in such patients. In our clinical experience, however, 8 of 11 consecutively treated patients with this clinical problem survived and recovered adequate renal function. We believe that these favorable results can be largely explained by the low incidence of pulmonary infection in our patients as opposed to the frequent occurrence of pulmonary sepsis in other reported series. The reduction in the incidence of pulmonary infection can probably be attributed to the early discontinuance of artificial ventilation after prompt removal of pulmonary edema fluid by intensive hemodialysis ultrafiltration. These survival figures demonstrate that, with appropriate intensive management, full recovery is possible in the majority of patients with acute renal failure complicating ruptured aortic abdominal aneurysm. Our experience serves as a stimulus to render full intensive care support to such patients.

Acute Kidney Injury↗
PubMed1978

Incomplete pulmonary interlobar fissure sign.

The author describes findings of pleural fluid in the major pulmonary interlobar fissure. Clear areas of perihilar lucency are bordered laterally by a sharp concave line, peripheral to which is opacification consistent with pleural fluid rising into the major fissure. Perihilar lucency, curvilinear demarcation, and lateral opacity indicate fluid extending into the major pulmonary fissure. The fissure is incomplete medial to the line.

Autopsy↗
PubMedDate not supplied

Acute renal failure. Community hospital experience with hemodialysis as intensive care adjunct.

A 3-year experience with 50 acute renal failure patients managed by hemodialysis in a 417-bed community hospital is reviewed. The 58% survival rate was better than that reported in other recent series. Possible reasons for our favorable mortality experience include: (1) Hemodialysis was performed within the ICU facility by the ICU staff. Continuity of total care was thereby maintained and hemodialysis problems, such as maintenance of circulating volume, were managed in the context of continued assessment of the patient's cardiopulmonary status. (2) In contrast to previous reports, the presence of sepsis did not influence recovery rates from acute renal failure. Early administration of specific antibiotics, mainly gentamicin, rapid drainage of abdominal abscesses, and early and frequent dialysis were all utilized in spetic patients and may have contributed to their high recovery rate. (3) The use of agressive dialysis may also have lessened other uremic complications, notably gastrointestinal bleeding. Our dialysis organization and procedures are described.

Acute Kidney Injury↗