Regional citrate anticoagulation with a low-concentration solution in predilution-postdilution CVVH
نویسندگان
چکیده
منابع مشابه
Regional citrate anticoagulation in CVVH: A new protocol combining citrate solution with a phosphate-containing replacement fluid
Regional citrate anticoagulation (RCA) is a valid anticoagulation method in continuous renal replacement therapies (CRRT) and different combination of citrate and CRRT solutions can affect acid-base balance. Regardless of the anticoagulation protocol, hypophosphatemia occurs frequently in CRRT. In this case report, we evaluated safety and effects on acid-base balance of a new RCA- continuous ve...
متن کاملContinuous venovenous hemofiltration with or without predilution regional citrate anticoagulation: a prospective study.
BACKGROUND/AIMS Continuous venovenous hemofiltration (CVVH) requires anticoagulation to prevent circuit clotting and its use is contraindicated in patients with high bleeding risk. The aim of this study was to compare CVVH with and without regional citrate anticoagulation (RCA) with respect to filter life, azotemic control and cost. METHODS This was a prospective sequential cohort study. The ...
متن کاملNJCC_01 bwerk v1.indd
The necessity of anticoagulating the extracorporeal circuit (ECC) when applying continuous venovenous haemofiltration (CVVH) in critically ill patients, implicates an increased risk of bleeding complications when using unfractionated heparin or low molecular weight heparins, especially in patients at high risk of bleeding. Regional anticoagulation of the ECC using citratebased solutions has eme...
متن کاملRegional citrate anticoagulation in cardiac surgery patients at high risk of bleeding: a continuous veno-venous hemofiltration protocol with a low concentration citrate solution
INTRODUCTION Regional citrate anticoagulation (RCA) is a valid option in patients at high risk of bleeding who are undergoing continuous renal replacement therapy (CRRT). The aim of this study was to evaluate, in critically ill patients with severe acute kidney injury following cardiac surgery, the efficacy and safety of RCA-continuous veno-venous hemofiltration (CVVH) using a low concentration...
متن کاملPredilution versus postdilution continuous venovenous hemofiltration: no effect on filter life and azotemic control in critically ill patients on heparin.
In continuous venovenous hemofiltration (CVVH), the delivery of replacement fluid in pre- or postdilution mode remains the subject of controversy. We compared both modes in terms of filter life, dose, and azotemic control. All patients admitted to the intensive care units of a university hospital between November 2004 and December 2006 receiving CVVH and systemic anticoagulation with heparin we...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2012
ISSN: 1364-8535
DOI: 10.1186/cc10974