MICHAEL ROBSON, M.D.; JOSEPH B. ROSENFELD, M.D.
To the editor: Dr. Tenckhoff drew attention in the August issue (Ann Intern Med 75:313-314, 1971) to some hazards of peritoneal dialysis with hypertonic solutions, in particular, hypernatremia, hyperglycemia, and hyperosmolar coma. In view of his observations about sorbital, which has been found to be unsatisfactory, we should like to draw attention to the use of 4½ % fructose solutions as a substitute for glucose (1). When a group of patients undergoing dialysis with 4½ % fructose were compared with a similar group using 4½ % glucose, there was no significant rise in the osmolarity of the fructose group, and
ROBSON M, ROSENFELD JB. Fructose for Dialysis. Ann Intern Med. ;75:975–976. doi: 10.7326/0003-4819-75-6-975_2
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Published: Ann Intern Med. 1971;75(6):975-976.
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