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Regional citrate anticoagulation during continuous renal replacement therapy (CRRT) in a cardiac surgery patient with a high risk of bleeding – case report


Authors: Zuščich Ondřej;  Hájek Roman;  Drobiličová Andrea
Authors‘ workplace: Kardiochirurgická klinika, Fakultní nemocnice Olomouc
Published in: Anest. intenziv. Med., 20, 2009, č. 5, s. 262-266
Category: Intesive Care Medicine - Case Report

Overview

Regional citrate anticoagulation is suitable for cardiac surgery patients with clotting abnormalities who require continuous renal replacement therapy (CRRT) in the postoperative period. Case reports point to using regional citrate anticoagulation in patients with a high risk of bleeding and document the possibility of monitoring systemic haemocoagulation during renal replacement therapy using thromboelastography. This method is used as the first option in the case of significant disturbances in blood clotting.

Keywords:
regional anticoagulation – haemocoagulation – bleeding – continuous renal replacement therapy


Sources

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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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