Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11403
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dc.contributor.authorEastwood, Glenn Men
dc.contributor.authorPeck, Leahen
dc.contributor.authorYoung, Helenen
dc.contributor.authorBailey, Michael Jen
dc.contributor.authorReade, Michael Cen
dc.contributor.authorBaldwin, Ian Cen
dc.contributor.authorBellomo, Rinaldoen
dc.date.accessioned2015-05-16T00:59:38Z-
dc.date.available2015-05-16T00:59:38Z-
dc.date.issued2011-12-15en
dc.identifier.citationBlood Purification 2011; 33(1-3): 52-8en
dc.identifier.govdoc22179304en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11403en
dc.description.abstractPatients are at risk of haemodynamic instability when starting continuous renal replacement therapy (CRRT).We compared data for 'routine-protocol' pump speed increases of 50 ml/min over 1-4 min with 'slower' increases of 20-50 ml/min over 3-10 min to achieve an operating blood flow of 200 ml/min.We studied 21 routine and 20 slower CRRT starts. 'Routine protocol' starts reached the target pump speed more quickly than the slower CRRT start (p < 0.05). Heart rate was higher in the routine group compared to the slower group at baseline (p < 0.01) and remained so throughout. There were no significant changes in central venous pressure or mean arterial pressure, and no episodes of hypotension or hypertension, in either group, or in the subset of 17 CRRT starts in vasopressor-dependent patients.We cannot recommend a slower pump speed start based on our findings, but advocate for close haemodynamic monitoring, as haemodynamic changes in individual patients cannot be predicted in advance.en
dc.language.isoenen
dc.subject.otherAcute Kidney Injury.therapyen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherCritical Care.methodsen
dc.subject.otherCritical Illnessen
dc.subject.otherFemaleen
dc.subject.otherHemodynamicsen
dc.subject.otherHumansen
dc.subject.otherHypertension.etiologyen
dc.subject.otherHypotension.etiologyen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherProspective Studiesen
dc.subject.otherRenal Replacement Therapy.adverse effects.methodsen
dc.titleHaemodynamic Impact of a slower pump speed at start of continuous renal replacement therapy in critically Ill adults with acute kidney injury: a prospective before-and-after study.en
dc.typeJournal Articleen
dc.identifier.journaltitleBlood Purificationen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1159/000333838en
dc.description.pages52-8en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/22179304en
dc.type.austinJournal Articleen
local.name.researcherBaldwin, Ian C
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
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