Anticoagulation during Renal Replacement Therapy
نویسندگان
چکیده
منابع مشابه
Heparin algorithm for anticoagulation during continuous renal replacement therapy
Premature circuit clotting is a problem during continuous renal replacement therapy. We describe an algorithm for individualised anticoagulation with unfractionated heparin based on the patient's risk of bleeding and previous circuit life. The algorithm allows effective and safe nurse-led anticoagulation during continuous renal replacement therapy.
متن کاملRevised algorithm for heparin anticoagulation during continuous renal replacement therapy
Premature clotting of the circuit is the most common reason for unplanned interruptions in renal replacement therapy (RRT) and discrepancies between the prescribed and delivered dose of RRT [1]. The recent guideline from the Kidney Disease Improving Global Outcomes (KDIGO) working group recommended citrate as the first-line anticoagulant for continuous renal replacement therapy (CRRT) [2]. For ...
متن کاملAnticoagulation in continuous renal replacement therapy.
More than half of patients with acute renal failure in the intensive care unit require dialysis, and the majority of them have significant hemodynamic instability. Continuous renal replacement therapy (CRRT) is often the preferred dialysis modality in these patients. One requirement for CRRT is anticoagulation, which can expose patients to the risk of bleeding. However, absence of effective ant...
متن کاملCitrate anticoagulation for continuous renal replacement therapy
Clinical Problem A 73 year old female patient presented to the Accident and Emergency Department (A&E) with a profound anaemia, acute kidney injury (AKI) and severe hyperkalaemia. She had a background of Chronic Obstructive Pulmonary Disease (COPD), osteoarthritis, hypertension, morbid obesity and a very poor functional status. She described a one week history of bleeding haemorrhoids. She was ...
متن کاملAnticoagulation for Continuous Renal Replacement Therapy
Continuous renal replacement therapy (CRRT) has emerged as the preferred dialysis modality for critically ill patients with acute kidney injury, particularly those with hemodynamic instability. Anticoagulation is necessary for effective delivery of CRRT, but this requirement can also present challenges, as many critically ill patients with sepsis and inflammation already have a higher risk of b...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Indian Journal of Critical Care Medicine
سال: 2020
ISSN: 0972-5229,1998-359X
DOI: 10.5005/jp-journals-10071-23412