The goal of anticoagulation with RRT is to: Prevent clotting of the filter Prevent reduced membrane permeability This ensures adequate RRT can be achieved and prevents blood loss in the clotted filter Any benefits must be weighed against: Risk of bleeding Economic...
The preference for insertion site should be: First choice: right jugular vein · Second choice: femoral vein Third choice: left jugular vein Last choice: subclavian vein with a preference for the dominant side KDIGO GuidelinesG Internal Jugular Femoral Subclavian...
Catheters should be: Large diameter catheter (>11FG) – allowing blood flow in excess of 250 ml/min Polyurethane material Coaxial or lumen-in-lumen Uncuffed, non-tunnelled KDIGO...
Low High Return Pressure Low blood pump speedLine disconnectionPre-sensor line is clamped Catheter related:KinkedAgainst a vessel wallOccluded with clot Dislodged (Emptying into a haematoma)Inadvertent arterial insertion Access Pressure Catheter related:KinkedAgainst...
Access Pressure Filter Pressure Effluent Pressure Return Pressure Transmembrane Pressure Pressure-Drop Description Pressure sucking blood from the patient via the dialysis catheter The positive pressure generated in the circuit immediately before the blood enters the...