نخر الأنابيب الحادة في المرضى الحرجين: ماذا تفعل عندما لا يحافظ العلاج الداعم العام على مستوى الجلوكوز المستهدف في البلازما

References

• Initiate RRT emergently when life-threatening changes in fluid, electrolyte, and acid-base balance exist.
• We suggest using CRRT, rather than standard intermittent RRT, for hemodynamically unstable patients.
• We suggest using CRRT, rather than intermittent RRT, for AKI patients with acute brain injury or other causes of increased intracranial pressure or generalized brain edema.
• We recommend using anticoagulation during RRT in AKI if a patient does not have an increased bleeding risk or impaired coagulation and is not already receiving systemic anticoagulation.
• For anticoagulation in intermittent RRT, we recommend using either unfractionated or low-molecular-weight heparin, rather than other anticoagulants.
• For anticoagulation in CRRT, we suggest using regional citrate anticoagulation rather than heparin in patients who do not have contraindications for citrate.
• For anticoagulation during CRRT in patients who have contraindications for citrate, we suggest using either unfractionated or low-molecular-weight heparin, rather than other anticoagulants.