Volume 11, Issue 5 pp. 405-409

Regional citrate anticoagulation in continuous venovenous haemofiltration using commercial preparations

SANDEEP MUNJAL

SANDEEP MUNJAL

Division of Nephrology, Hypertension and Transplantation, University of Florida, Gainesville, Florida, USA

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A AHSAN EJAZ

A AHSAN EJAZ

Division of Nephrology, Hypertension and Transplantation, University of Florida, Gainesville, Florida, USA

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First published: 29 September 2006
Citations: 12
Dr A Ahsan Ejaz, Division of Nephrology, Hypertension and Transplantation, University of Florida, PO Box 100224, Gainesville, FL 32610-0224, USA. Email: [email protected]

SUMMARY:

Aim:  The aim of the present study was to test the feasibility of using commercial preparations of replacement and citrate anticoagulation solution in continuous venovenous haemofiltration (CVVH) in a safe, efficient and simple manner.

Methods:  Retrospective review of the database of a large continuous renal replacement therapy programme that uses a standardized prescription of high ultrafiltrate CVVH with commercial solutions for replacement fluid and regional citrate anticoagulation was performed.

Results:  Records of 28 patients who underwent 91 CVVH sessions were analysed. Median circuit survival time was 37 (59.5–15.5) h and the 48 h survival probability was 40%. Bleeding or metabolic complications were not noted, and the procedure was simple to administer.

Conclusion:  Continuous venovenous haemofiltration using commercial preparations of replacement fluid and citrate anticoagulation can be safe, efficient and simple.

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