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Automated electronic monitoring of circuit pressures during continuous renal replacement therapy: a technical report

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机构: [1]Austin Hosp, Dept Intens Care, Melbourne, Vic 3084, Australia [2]Sichuan Univ, Dept Nephrol, West China Hosp, Chengdu 610064, Sichuan, Peoples R China [3]Hebei Med Univ, Hosp 4, Dept Intens Care, Shijiazhuang, Hebei, Peoples R China
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Background: Automated electronic monitoring and analysis of circuit pressures during continuous renal replacement therapy (CRRT) has the potential to predict failure and allow intervention to optimise function. Methods: Current CRRT machines can measure and store pressure readings for downloading into databases and for analysis. We developed a procedure to obtain such data at intervals of 1 minute and analyse them using the Prismaflex CRRT machine, and we present an example of such analysis. Results: We obtained data on pressures obtained at intervals of 1 minute in a patient with acute kidney injury and sepsis treated with continuous haemofiltration at 2 L\hour of ultrafiltration and a blood flow of 200 mL/minute. Data analysis identified progressive increases in transmembrane pressure (TMP) and prefilter pressure (PFP) from time 0 until 33 hours or clotting. TMP increased from 104 mmHg to 313 mmHg and PFP increased from from 131 mmHg to 185 mmHg. Effluent pressure showed a progressive increase in the negative pressure applied to achieve ultrafiltration from 0 mmHg to -168 mmHg. The inflection point for such changes was also identified. Blood pathway pressures for access and return remained unchanged throughout. Conclusions: Automated electronic monitoring of circuit pressure during CRRT is possible and provides useful information on the evolution of circuit clotting.

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 危重病医学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 危重病医学
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出版当年[2015]版:
Q2 CRITICAL CARE MEDICINE
最新[2024]版:
Q3 CRITICAL CARE MEDICINE

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第一作者机构: [1]Austin Hosp, Dept Intens Care, Melbourne, Vic 3084, Australia [2]Sichuan Univ, Dept Nephrol, West China Hosp, Chengdu 610064, Sichuan, Peoples R China
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