【持续性肾脏替代治疗CRRT英文ppt课件】CITRATE ANTICOAGULATION —STATE OF THE ART AND BEYOND.pptVIP

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2018-07-20 发布于贵州
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【持续性肾脏替代治疗CRRT英文ppt课件】CITRATE ANTICOAGULATION —STATE OF THE ART AND BEYOND.ppt

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【持续性肾脏替代治疗CRRT英文ppt课件】CITRATE ANTICOAGULATION —STATE OF THE ART AND BEYOND

CITRATE ANTICOAGULATION — STATE OF THE ART AND BEYOND;History of CRRT;History of CRRT;History of CRRT;Activation of coagulation during CRRT;Preterm clotting of extracorporeal circuit leads to...;Strategies to avoid preterm filter clotting;Epidemiology of CRRTCRRT: A worldwide practice survey. The Beginning and Ending Supportive Therapy for the Kidney (BEST) Kidney InvestgatorsUchino S et al., Intensive Care Med 2007: 33: 1563;Renal replacement therapy for acute renal failure: a survey of practice in adult intensive care units in the United KingdomGatward JJ et al., Anaesthesia 2008, 63: 959;Anticoagulation during CRRTThe ongoing dilemma;Characteristics of an ?ideal“ anticoagulant;CRRT: A worldwide practice survey. The Beginning and Ending Supportive Therapy for the Kidney (BEST) Kidney InvestgatorsUchino S et al., Intensive Care Med 2007: 33: 1563;History of citrate anticoagulation;History of citrate anticoagulation;Why did it take so long for citrate to be widely used?;Citrate Anticoagulation: A lot of decisions to be made;Citrate Anticoagulation: A lot of decisions to be made;Anticoagulation with citrate;Physiology of plasma Ca2+ distribution ;Elimination of Ca2+ citrate complex;Monitoring;Potential adverse effects of citrate anticoagulation;Citrate-CVVHD: Implementation in BerlinMorgera S et al., Nephron Clin Pract 97:c131-c136, 2004;Protocol for citrate based CRRT;Multifiltrate CiCa (FRESENIUS MEDICAL CARE);Solutions for citrate based CVVHD [FRESENIUS KABI];Solutions for Ca2+ substitution;Fully integrated citrate anticoagulation;Improvements due to integration of the citrate pump;Added safety by integration of the calcium pump;Ci-Ca CVVHD: Scheme and typical flows;Treatment Goals with Citrate-CVVHDmultiFiltrate screen during citrate anticoagulation;multiFiltrate CiCa cassette: Comprehensive set-up instructions;multiFiltrate CiCa cassette;multiFiltrate CiCa cassette: Safe connection with the catheter;Safety features enabled by full integration;How much cit