N. DABIR VAZIRI, M.D.; CYRIL H. BARTON, M.D.; RUSSELL NESS, M.D.; KHOSROW MIRAHMADI, M.D.
To the editor: We read with interest the recent article by Swartz and colleagues that described hemodialysis with a high-chloride, low-acetate dialysate as a successful treatment for metabolic alkalosis in the postoperative patient with renal failure (1).
We recently treated a 37-year-old man who had suffered a gunshot wound to the abdomen that required extensive abdominal surgery. The patient subsequently developed acute renal failure and a severe metabolic alkalosis that was secondary to nasogastric suctioning. Hemodialysis with a high-chloride, low-acetate dialysate was very effective in correcting the metabolic alkalosis.
Before dialysis the blood pH was 7.57 and plasma bicarbonate 42
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VAZIRI ND, BARTON CH, NESS R, MIRAHMADI K. Special Uses of Cimetidine. Ann Intern Med. 1978;88:266–267. doi: 10.7326/0003-4819-88-2-266
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Published: Ann Intern Med. 1978;88(2):266-267.
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