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四川大学华西医院[3]Hebei Med Univ, Hosp 4, Dept Intens Care, Shijiazhuang, Hebei, Peoples R China临床科室重症医学科河北医科大学第四医院
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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.
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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推荐引用方式(GB/T 7714):
Zhang Ling,Baldwin Ian,Zhu Guijun,et al.Automated electronic monitoring of circuit pressures during continuous renal replacement therapy: a technical report[J].CRITICAL CARE AND RESUSCITATION.2015,17(1):51-54.
APA:
Zhang, Ling,Baldwin, Ian,Zhu, Guijun,Tanaka, Aiko&Bellomo, Rinaldo.(2015).Automated electronic monitoring of circuit pressures during continuous renal replacement therapy: a technical report.CRITICAL CARE AND RESUSCITATION,17,(1)
MLA:
Zhang, Ling,et al."Automated electronic monitoring of circuit pressures during continuous renal replacement therapy: a technical report".CRITICAL CARE AND RESUSCITATION 17..1(2015):51-54