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Choice of Peritoneal Dialysis Solutions

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Department of Medicine, University of Washington, Seattle, Wash.

Ann Intern Med. 1971;75(2):313-314. doi:10.7326/0003-4819-75-2-313
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Peritoneal dialysis enjoys increasing popularity in the treatment of both acute and chronic renal failure despite its complications. As Gault and associates (1) remind us in this issue, most of these complications, such as alkalosis, hypovolemia, hypernatremia, and hyperglycemia, arise from inappropriate choice or use of dialysis solutions, especially the markedly hyperosmolar dialysates. Quite rightly, they note that these complications can be prevented, as a rule, by anticipation and appropriate management. The fact remains that solution-related complications and deaths continue to be reported even from major medical centers with extensive experience. In view of these facts and of the wide


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