%0 Journal Article %A C.J., Kirwan %A R., Hutchison %A S., Ghabina %A S., Schwarze %A A., Beane %A S., Ramsay %A E., Thompson %A J.R., Prowle %D 2016 %T Supplementary Material for: Implementation of a Simplified Regional Citrate Anticoagulation Protocol for Post-Dilution Continuous Hemofiltration Using a Bicarbonate Buffered, Calcium Containing Replacement Solution %U https://karger.figshare.com/articles/journal_contribution/Supplementary_Material_for_Implementation_of_a_Simplified_Regional_Citrate_Anticoagulation_Protocol_for_Post-Dilution_Continuous_Hemofiltration_Using_a_Bicarbonate_Buffered_Calcium_Containing_Replacement_Solution/4239446 %R 10.6084/m9.figshare.4239446.v1 %2 https://karger.figshare.com/ndownloader/files/6914810 %K Citrate %K Critical care %K Hemofiltration %K Haemofiltration %K Renal replacement therapy %K Regional citrate anticoagulation %K Protocol %X

Background/Aims: Recent updates to the Nikkiso Aquarius continuous renal replacement therapy (CRRT) platform allowed us to develop a post-dilution protocol for regional citrate anticoagulation (RCA) using standard bicarbonate buffered, calcium containing replacement solution with acid citrate dextrose formula-A as a citrate source. Our objective was to demonstrate that the protocol was safe and effective. Methods: Prospective audit of consecutive patients receiving RCA for CRRT within intensive care unit, who were either contraindicated to heparin or had poor filter lifespan (<12 h for 2 consecutive filters) on heparin. Results: We present the first 29 patients who used 98 filters. After excluding ‘non-clot' filter loss, 50% had a duration of >27 h. Calcium supplementation was required for 30 (30%) filter circuits, in 17 of 29 (58%) patients. One patient discontinued the treatment due to metabolic alkalosis, but there were no adverse bleeding events. Conclusion: Post-dilution RCA system is effective and simple to use on the Aquarius platform and results in comparable filter life for patients relatively contraindicated to heparin.

%I Karger Publishers