From KDIGO Guidance:

  • Good vascular access allowing high blood flows to be reliably achieved
  • Reducing blood viscosity through the filter
  • Predilution fluids
  • Treatments that involve diffusion as opposed to ultrafiltration
  • Reducing blood-air contact in the bubble trap
  • Ensuring prompt response to the filter alarms resulting in rapid correction of any suboptimal filter conditions which may have arisen

 

Other

  • Prime the circuit with saline or heparin
  • Give intermittent 0.9% saline flushes (50-200ml every 30-60mins)