Peritoneal dialysis in the management of hypertensive acute oliguric renal failure

Twenty consecutive patients admitted because of severe hypertension and uraemia were offered the benefit of intermittent peritoneal dialysis as an adjunct to hypotensive therapy. The outcome of this modality of treatment showed that despite the adequate control of severe hypertension all the patients remained oliguric and died from uraemia. It is concluded that short term intermittent peritoneal dialysis merely prolongs life for a few days or weeks and does not appear to be the answer to the problem of management of uraemia due to hypertension. An attempt must be made to provide facilities for regular haemodialysis and transplant surgery in developing countries.