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Circuit Start during Continuous Renal Replacement Therapy in Vasopressor-Dependent Patients: The Impact of a Slow Blood Flow Protocol.
- Source :
-
Blood Purification . 2011, Vol. 32 Issue 1, p1-6. 6p. - Publication Year :
- 2011
-
Abstract
- Background and Aims: In vasopressor-dependent patients, we evaluated the impact of a slow blood flow protocol on hypotension when starting continuous renal replacement therapy (CRRT). Methods: Retrospective observational study in tertiary ICU of a slow blood flow protocol at the start of CRRT circuits. Results: 205 circuits in 52 patients were studied. No significant changes in mean arterial pressure (MAP) and norepinephrine dose were found. Only 16 circuit starts in 13 patients were associated with a decrease in MAP >20%. In 23 filters and 11 patients, norepinephrine dose was >50 μg/min at baseline and also did not change significantly. There were no cardiac arrests or ventricular arrhythmias and CRRT was not discontinued because of hypotension. Conclusions: Implementation of a CRRT slow blood flow protocol in vasopressor-dependent patients enabled the initiation of CRRT circuits with limited hemodynamic consequences and no cardiac arrest or ventricular arrhythmia. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
- Subjects :
- *BLOOD flow
*ARRHYTHMIA
*HEART diseases
*HEART beat
*CARDIAC arrest
Subjects
Details
- Language :
- English
- ISSN :
- 02535068
- Volume :
- 32
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Blood Purification
- Publication Type :
- Academic Journal
- Accession number :
- 63007477
- Full Text :
- https://doi.org/10.1159/000323035