Journal
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
Volume 37, Issue 4, Pages 967-968Publisher
OXFORD UNIV PRESS INC
DOI: 10.1016/j.ejcts.2009.10.007
Keywords
ECLS; Circulatory assistance temporary; Kidney; Intensive care; Haemodialysis
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Continuous renal replacement therapy is particularly suited in the setting of acute renal failure, occurring after cardiac surgery, in patients requiring extracorporeal life support (ECLS) or membrane oxygenation. In such patients, temporary catheters are not necessary since the circuit of haemodialysis or haemofiltration may be connected on the ECLS cannulae. We report how to modify a classical ECLS circuit to connect directly the haemodialysis (Prismaflex device, Gambro-Hospal, Lyon, France) to the ECLS. We also detail parameters used to initiate the haemodialysis. Actually, we modify all our ECLS circuits as described here, at implantation time, allowing rapid haemodialysis initiations. Since 2004, 21 patients have been treated, as described here, without supplemental mortality or related complication. (C) 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier By. All rights reserved.
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