Critical Illness Clinical Trial
Official title:
Citrate Anticoagulation for Postdilution Hemofiltration
This study evaluates a protocol for regional citrate anticoagulation in critically ill patients with acute kidney injury who are treated with continuous veno-venous haemofiltration in postdilution mode.
Acute kidney injury (AKI) requiring continuous renal replacement therapy (CCRT occurs in
approx. 15 % of all intensive care patients. A sustained and prolonged filter running time is
required to deliver an effective dialysis dose. This requires effective anticoagulation.
Today, regional citrate anticoagulation (RCA) is preferred over systemic anticoagulation
because of prolonged filter lifetimes and less adverse effects.
We here study prospectively patients with AKI who are treated with continuous veno-venous
haemofiltration using an RCA protocol.
We will evaluate all parameters of CRRT including filter running times, delivered dialysis
dose, causes for treatment interruption and control of pH and electrolytes.
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