Super high-flux CVVHD using regional citrate anticoagulation: long-term stability of middle molecule clearance
نویسندگان
چکیده
منابع مشابه
Citrate pharmacokinetics and calcium levels during high-flux dialysis with regional citrate anticoagulation
BACKGROUND Regional citrate anticoagulation is a very effective anticoagulation method for haemodialysis. However, it is not widely used, primarily due to the risk of hypocalcaemia. We studied citrate and calcium kinetics to better understand safety aspects of this anticoagulation method. METHODS During 15 haemodialysis treatments with a calcium-free dialysis solution, citrate was infused pre...
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BACKGROUND Treatment with trisodium citrate provides an effective means of regional anticoagulation during continuous renal replacement therapy (CRRT). We evaluated the efficacy, safety and cost of a regional citrate anticoagulation protocol using commercial solutions in 17 critically ill patients treated with continuous venovenous haemodiafiltration (CVVHDF). We performed a total of 22 session...
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We present data from a patient with fulminant rhabdomyolysis (RML) after radical prostatectomy, which could be managed successfully with early initiation of continuous veno-venous haemodialysis (CVVHD). A 58-yr-old male was admitted to our hospital with the diagnosis of a carcinoma of the prostate, planned for a radical prostatectomy. The patient had a history of essential hypertension, hyperli...
متن کاملSimple citrate anticoagulation protocol for low flux haemodialysis
BACKGROUND For patients unable to receive heparin anticoagulation during haemodialysis, saline flushes to reduce circuit clotting are often the norm. Regional citrate anticoagulation (RCA) although effective is not used by many centres including in Singapore. We wanted to demonstrate the superiority and safety of a simple regional citrate anticoagulation regime, compared to saline flushes, for ...
متن کاملComplications of regional citrate anticoagulation: accumulation or overload?
Regional citrate anticoagulation (RCA) is now recommended over systemic heparin for continuous renal replacement therapy in patients without contraindications. Its use is likely to increase throughout the world. However, in the absence of citrate blood level monitoring, the diagnosis of citrate accumulation, the most feared complication of RCA, remains relatively complex. It is therefore common...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2015
ISSN: 1364-8535
DOI: 10.1186/cc14381