TY  - JOUR
T1  - TReatment of acute renal failure with intravenous essential l-amino acids
AU  - Wilmore DW, Dudrick SJ
Y1  - 1969/11/01
N1  - 10.1001/archsurg.1969.01340170121029
JO  - Archives of Surgery
SP  - 669
EP  - 673
VL  - 99
IS  - 5
N2  - Refractory body-wasting in the presence of nitrogen retention characterizes the course of the patient with acute or chronic renal failure. Optimal dietary management restricts substances which cannot be excreted from the body but provides essential nutrients to minimize catabolism and promote tissue synthesis and repair. A high-caloric, low-protein diet, which limits the exogenous protein load and takes advantage of the nitrogen sparing effect of carbohydrates, has become an accepted nutrition management for most uremic patients.1 Recently, however, a low-protein, essential amino-acid diet containing 2 to 3 gm nitrogen per day has been used in individuals with severe azotemia. Improvement in the uremic symptoms of nausea, vomiting, fatigue, and muscle irritability occurred in all patients with a concomitant decrease in the blood urea level and attainment of positive nitrogen balance, weight gain, and increases strength and activity.2-4Use of the selected protein diet in the advanced uremic or surgical patient
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1969.01340170121029
UR  - http://dx.doi.org/10.1001/archsurg.1969.01340170121029
ER  -