{"title":"The use of CRRT in ECMO patients","authors":"Marlice Van Dyk","doi":"10.1016/j.ejccm.2018.12.006","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.006","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Journal of Critical Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2090730318300446","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
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.
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.