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< Vol. 40 Issue 7 | Jul 2017 | pp. 313 - 366

A new approach combining venoarterial extracorporeal membrane oxygenation and CRRT for adults: a retrospective study

Abstract

Purpose

This study aimed to assess a new approach combining venoarterial (VA) extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) in adults, while monitoring CRRT circuit pressures.

 Methods

The inlet and outlet of the CRRT circuit were connected to preoxygenator port and postoxygenator port, respectively. Then, complications and CRRT circuit pressures were evaluated.

 Results

7 patients underwent combined VA-ECMO and CRRT; 16 filters were used. CRRT blood flow ranged from 150 to 200 mL/min; the CRRT to ECMO blood flow ratio was <0.1. The CRRT pressures at treatment initiation were normal. No complications were reported.

 Conclusions

This approach combining VA-ECMO and CRRT in adults did not compromise the accuracy of pressure monitoring systems for CRRT circuit function, and caused no complications. Hence, it may be a feasible method for performing combined VA-ECMO and CRRT in adults.

Int J Artif Organs 2017; 40(7): 345 - 349

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/ijao.5000597

Authors

Xing-Liang Zhou, Yan-He Chen, Qing-Yun Wang

Article History

  • • Accepted on 11/04/2017
  • • Available online on 23/05/2017
  • • Published in print on 05/07/2017

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

  • Zhou, Xing-Liang [PubMed] [Google Scholar] , * Corresponding Author ([email protected])
  • Chen, Yan-He [PubMed] [Google Scholar]
  • Wang, Qing-Yun [PubMed] [Google Scholar]

Affiliations

  • Intensive Care Unit, The Shunde First People’s Hospital affiliated with Southern Medical University, Foshan - China

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