HOW TO CONECT A HAEMOFILTRATION THERAPHY TO THE EXTRACORPOREAL LIFE SUPPORT VENOUS LINE

Volume 7, Issue 1, February 2023     |     PP. 1-6      |     PDF (147 K)    |     Pub. Date: February 25, 2023
DOI: 10.54647/isss120244    105 Downloads     2376 Views  

Author(s)

Javier Suárez Cuenca, Senior Certified Cardiovascular Perfusionist at Álvaro Cunqueiro Hospital. University of Vigo Hospital Complex.
M. A. Piñón Esteban, Cardiac Surgeon.Senior Consultant. at Álvaro Cunqueiro Hospital. University of Vigo Hospital Complex.

Abstract
Continuous renal replacement therapies are part of the usual treatment in patients with Extracorporeal Life Support for acute renal failure, in the context of postcardiotomy shock. We describe how to connect the continuous renal replacement therapy device to the Extracorporeal Life Support venous line, avoiding any recirculation of filtered blood and with optimal pressures for the hemofilter. Currently, by protocol, in our center, we previously modified the Extracorporeal Life Support circuit in anticipation that the subsequent connection of the hemofilter to the Extracorporeal Life Support would be necessary, avoiding a new puncture, in an already heparinized patient; for the double lumen catheter required for continuous renal replacement therapy.

Keywords
ECLS, CRRT

Cite this paper
Javier Suárez Cuenca, M. A. Piñón Esteban, HOW TO CONECT A HAEMOFILTRATION THERAPHY TO THE EXTRACORPOREAL LIFE SUPPORT VENOUS LINE , SCIREA Journal of Information Science and Systems Science. Volume 7, Issue 1, February 2023 | PP. 1-6. 10.54647/isss120244

References

[ 1 ] De Tymowski C, Augustin P, Houissa H, Allou N, Montravers P, Delzongle A, et al. CRRT Connected to ECMO: Managing High Pressures. ASAIO J [Internet]. 2017 Jan 1 [cited 2021 Jan 20];63(1):48–52. Available from: https://pubmed.ncbi.nlm.nih.gov/27660903/
[ 2 ] Smith WW. Use of the Shaldon percutaneous catheter for hemodialysis. Ohio State Med J [Internet]. 1967 Nov [cited 2021 Jan 20];63(11):1462–6. Available from: https://pubmed.ncbi.nlm.nih.gov/6061078/
[ 3 ] That HT, Ibos R, Dupre-Goudable C, Durand D, Suc JM. EVOLUTION DES VOIES D’ACCES VASCULAIRES POUR HEMODIALYSE. Vol. 15, Nephrologie. 1994. p. 47–51.
[ 4 ] de Tymowski C, Augustin P, Houissa H, Allou N, Montravers P, Delzongle A, et al. CRRT Connected to ECMO. ASAIO J [Internet]. 2017 Jan 1 [cited 2021 Jan 20];63(1):48–52. Available from: http://journals.lww.com/00002480-201701000-00009
[ 5 ] Chen H, Yu RG, Yin NN, Zhou JX. Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy in critically ill patients: A systematic review. Crit Care [Internet]. 2014 Nov 17 [cited 2021 Jan 20];18(1). Available from: https://pubmed.ncbi.nlm.nih.gov/25482187/
[ 6 ] Rubin S, Poncet A, Wynckel A, Baehrel B. How to perform a haemodialysis using the arterial and venous lines of an extracorporeal life support. Eur J Cardio-thoracic Surg [Internet]. 2010 Apr [cited 2021 Jan 20];37(4):967–8. Available from: https://pubmed.ncbi.nlm.nih.gov/19914083/
[ 7 ] Ostermann M, Connor M, Kashani K. Continuous renal replacement therapy during extracorporeal membrane oxygenation: why, when and how? [Internet]. Vol. 24, Current opinion in critical care. NLM (Medline); 2018 [cited 2021 Jan 20]. p. 493–503. Available from: https://pubmed.ncbi.nlm.nih.gov/30325343/
[ 8 ] Seczyńska B, Królikowski W, Nowak I, Jankowski M, Szuldrzyński K, Szczeklik W. Continuous Renal Replacement Therapy During Extracorporeal Membrane Oxygenation in Patients Treated in Medical Intensive Care Unit: Technical Considerations [Internet]. Vol. 18, Therapeutic Apheresis and Dialysis. Blackwell Publishing Ltd; 2014 [cited 2021 Jan 20]. p. 523–34. Available from: https://pubmed.ncbi.nlm.nih.gov/25195931/
[ 9 ] Suga N, Matsumura Y, Abe R, Hattori N, Nakada T aki, Oda S. A safe procedure for connecting a continuous renal replacement therapy device into an extracorporeal membrane oxygenation circuit. J Artif Organs [Internet]. 2017 Jun 1 [cited 2021 Jan 20];20(2):125–31. Available from: https://pubmed.ncbi.nlm.nih.gov/28341867/
[ 10 ] Simons AP, Weerwind PW. Re: How to perform a haemodialysis using the arterial and venous lines of an extracorporeal life support [Internet]. Vol. 39, European Journal of Cardio-thoracic Surgery. Eur J Cardiothorac Surg; 2011 [cited 2021 Jan 20]. p. 1084–5. Available from: https://pubmed.ncbi.nlm.nih.gov/20952205/