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PERSPECTIVE
Year : 2021  |  Volume : 3  |  Issue : 1  |  Page : 9

Regional Citrate Anticoagulation for Postdilution Continuous Venovenous Hemofiltration: An Easy Five-Step Prescribing Approach


Surgical Intensive Care Unit, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China

Correspondence Address:
Prof. Wenxiong Li
Surgical Intensive Care Unit, Beijing Chao-Yang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing - 100020
China
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DOI: 10.4103/2665-9190.329043

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Regional citrate anticoagulation (RCA) is the preferred anticoagulation method of continuous renal replacement therapy (CRRT) which is recommended by international guidelines, but the use of citrate anticoagulation is relatively complicated. If correct prescription and timely adjustment of RCA are not performed, disorders of fluid electrolyte and acid-base balance are prone to occur, especially hypocalcemia, which is a fatal complication. This article introduces the use of RCA with calcium-containing replacement fluid for postdilution continuous veno-venous hemofiltration, which provides a simple and easy CRRT anticoagulation protocol for clinical practice.


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