Protocolized care for continuous renal replacement theraphy

doi:10.3877/cma.j.issn.2096-1537.2019.01.006

Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2019, Vol. 05 ›› Issue (01): 27-31. doi: 10.3877/cma.j.issn.2096-1537.2019.01.006

Special Issue: ；；；；

• Basic Protocol of Diagnosis and Management • Previous Articles Next Articles

Protocolized care for continuous renal replacement theraphy

Xianghong Yang¹, Lina Zhang², Bo Hu³, Ruiqiang Zheng⁴, Qian Zhai⁵, Wenkui Yu⁶, Yun Long⁷^,^†(), Critical Care County Working Group

^1. Department of Critical Care Medicine, Zhejiang Provincial People′s Hospital, Hangzhou 310014, China
^2. Department of Critical Care Medicine, Xiangya Hospital of Centre-south University, Changsha 410008, China
^3. Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
^4. Department of Critical Care Medicine, Subei People′s Hospital of Jiangsu Province, Yangzhou 225001, China
^5. Department of Critical Care Medicine, Qilu Hospital of Shangdong University, Jinan 250012, China
^6. Department of Critical Care Medicine, Nanjing Drum Tower Hospital, Nanjing 210000, China
^7. Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730, China

Received:2017-12-01 Online:2019-02-28 Published:2019-02-28
Contact: Yun Long
About author:
Corresponding author: Long Yun, Email: ly_icu@aliyun.com

Abstract

Abstract:

Continous renal replacement theraphy (CRRT) is a strategy of clinical treatment in critically ill patients. Due to the complex of CRRT and variety of patients′ condition, establishment of a feasible and standardized protocol to ensure CRRT practice is needed urgently. The protocolized care includes four steps. First, assessing the indication of CRRT; Second, CRRT prescription; Third, monitoring management and parameters adjustment, and Fourth, evaluating the optimal weaning timing of CRRT. In order to carry out the protocolized care of CRRT in clinical practice, we should follow the these four steps strictly based on patients′ condition. This standardized CRRT protocol will further make continuously quality improvement of homogeneous management.

Key words: Continuous renal replacement theraphy, Protocolized care CRRT prescrption, Indication, Contraindication, Timing, Modality, Dose, Parameter of treatment, Anticoagulation, Fluid management, Monitoring

Xianghong Yang, Lina Zhang, Bo Hu, Ruiqiang Zheng, Qian Zhai, Wenkui Yu, Yun Long, Critical Care County Working Group. Protocolized care for continuous renal replacement theraphy[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 05(01): 27-31.

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References 13

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