The use of CRRT in ECMO patients

IF 0.3 Q4 CRITICAL CARE MEDICINE

Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI:10.1016/j.ejccm.2018.12.006

Marlice Van Dyk

引用次数: 2

Abstract

Extracorporeal life support (ECLS) is an effective therapy used for patients who are severely hypoxic as well as those with cardiogenic shock. Many of these patients require continuous renal replacement therapy (CRRT) as they are too unstable for intermittent haemodialysis. Prognosis of patients who are on ECMO tends to do worse if they develop acute renal failure during the ECMO run resulting in the requirement for dialysis. According to the ELSO registry, the mortality of patients requiring renal replacement therapy (RRT) on ECLS is increased. There are various ways to connect a CRRT circuit onto an ECMO circuit. Each method has its advantages and disadvantages. Separate access for CRRT is recommended.

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CRRT在ECMO患者中的应用

体外生命支持(ECLS)是一种用于严重缺氧以及心源性休克患者的有效治疗方法。这些患者中的许多人需要持续的肾脏替代治疗(CRRT)，因为他们太不稳定，不适合间歇性血液透析。如果患者在ECMO期间发生急性肾功能衰竭，导致需要透析，则采用ECMO的患者预后往往更差。根据ELSO登记，在ECLS中需要肾脏替代治疗(RRT)的患者死亡率增加。有多种方法将CRRT电路连接到ECMO电路上。每种方法都有其优点和缺点。建议对CRRT进行单独访问。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Egyptian Journal of Critical Care Medicine

自引率

0.00%

发文量

审稿时长

42 weeks

期刊介绍： The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.