scholarly journals Continuous renal replacement therapy in patients receiving extracorporeal membrane oxygenation therapy

2022 ◽  
pp. 175114372110670
Author(s):  
Meera Raja ◽  
Ricardo Leal ◽  
James Doyle

Methods of continuous renal replacement therapy (CRRT) in extracorporeal membrane oxygenation (ECMO) patients include dedicated central venous cannula (CVC) (vCRRT), in-series with filter connected to ECMO circuit (eCRRT) or in-line with haemodiafilter incorporated within ECMO circuit. We assessed the efficacy and safety of eCRRT versus vCRRT in 20 ECMO-CRRT patients. Average filter lifespan was 42 vs 28 hours and filter runs completing 72hours were 40% vs 13.8% (eCRRT vs vCRRT, respectively). One incidence of ECMO circuit air embolus occurred (vCRRT). eCRRT achieved adequate filtration and increased filter lifespan, and has become our default for ECMO-CRRT if a pre-existing dialysis CVC is not present.

2009 ◽  
Vol 76 (12) ◽  
pp. 1289-1292 ◽  
Author(s):  
Maria J. Santiago ◽  
Amelia Sánchez ◽  
Jesús López-Herce ◽  
Rosario Pérez ◽  
Jimena del Castillo ◽  
...  

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