Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22409
Title: Continuous Renal Replacement Therapy Without Anticoagulation: Top Ten Tips to Prevent Clotting.
Authors: Baldwin, Ian C;Jones, Daryl A;Carty, Paula;Fealy, Nigel G
Affiliation: Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 7-Jan-2020
EDate: 2020
Citation: Blood purification 2020; online first: 7 January
Abstract: Continuous renal replacement therapy (CRRT) is intended to function continuously and is prescribed for this outcome. Anticoagulants may not always be used. Clotting and clogging within the CRRT filter stopping therapy occurs with a variability in the total elapsed time associated. This is commonly known as the circuit or filter "life". It is very useful and important to record this time at the bedside and refer to this as a measure of success and quality. Filter life (i.e., hours) is reported in many reports investigating CRRT but is not well understood or clear for when this is considered inadequate and clinical review strategies should be considered. Failure before 8 h could be associated with inadequate renal support and "therapy". Anticoagulation is the key intervention to prolong filter function; however, the extracorporeal circuit design and set up, access catheter profile and insertion site, CRRT machine settings, and the human interface operating CRRT are always important and the only consideration to prevent failure when no anticoagulation is mandated for CRRT.
URI: http://ahro.austin.org.au/austinjspui/handle/1/22409
DOI: 10.1159/000505260
PubMed URL: 31913144
Type: Journal Article
Subjects: Clotting
Continuous renal replacement therapy
Filter life
Hemofiltration
Intensive care unit
Nursing
Appears in Collections:Journal articles

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