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Complications of regional citrate anticoagulation: accumulation or overload?
- Source :
- Critical care, vol. 21, no. 1, pp. 281
- Publication Year :
- 2017
-
Abstract
- Regional citrate anticoagulation (RCA) is now recommended over systemic heparin for continuous renal replacement therapy in patients without contraindications. Its use is likely to increase throughout the world. However, in the absence of citrate blood level monitoring, the diagnosis of citrate accumulation, the most feared complication of RCA, remains relatively complex. It is therefore commonly mistaken with other conditions. This review aims at providing clarifications on RCA-associated acid-base disturbances and their management at the bedside. In particular, the authors wish to propose a clear distinction between citrate accumulation and net citrate overload.
- Subjects :
- Acid-Base Equilibrium/physiology
Acute Kidney Injury/drug therapy
Anticoagulants/adverse effects
Anticoagulants/therapeutic use
Citric Acid/adverse effects
Citric Acid/analysis
Citric Acid/therapeutic use
Humans
Intensive Care Units/organization & administration
Renal Replacement Therapy/instrumentation
Renal Replacement Therapy/methods
Renal Replacement Therapy/trends
Acute kidney injury
Citrate accumulation
Complications of therapy
Continuous renal replacement therapy
Metabolic alkalosis
Regional citrate anticoagulation
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Critical care, vol. 21, no. 1, pp. 281
- Accession number :
- edsair.od......1900..28199ab2894c8bef493b8e791c56eb36