Regional Citrate Anticoagulation Protocol for Patients with Presumed Absent Citrate Metabolism | Zendy

Balázs Szamosfalvi | Zendy; Vidhit Puri | Zendy; Ryann Sohaney | Zendy; Benjamin Wagner | Zendy; Amy Riddle | Zendy; Sharon Dickinson | Zendy; Lena M. Napolitano | Zendy; Michael Heung | Zendy; David Humes | Zendy; Lenar Yessayan | Zendy

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Regional Citrate Anticoagulation Protocol for Patients with Presumed Absent Citrate Metabolism

Author(s) -

Balázs Szamosfalvi,

Vidhit Puri,

Ryann Sohaney,

Benjamin Wagner,

Amy Riddle,

Sharon Dickinson,

Lena M. Napolitano,

Michael Heung,

David Humes,

Lenar Yessayan

Publication year - 2020

Publication title -

kidney360

Language(s) - English

Resource type - Journals

ISSN - 2641-7650

DOI - 10.34067/kid.0005342020

Subject(s) - medicine , metabolic alkalosis , interquartile range , calcium metabolism , metabolic acidosis , gastroenterology , intensive care , calcium , intensive care medicine

Regional citrate anticoagulation (RCA) is not recommended in patients with shock or severe liver failure. We designed a protocol with personalized precalculated flow settings for patients with absent citrate metabolism that abrogates risk of citrate toxicity, and maintains neutral continuous KRT (CKRT) circuit calcium mass balance and normal systemic ionized calcium levels.

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