Eine Variante von NEV an ECMO

Patienten an der Extrakorporalen Membranoxygenierung (ECMO) unterliegen einem hohen Risiko für ein akutes Nierenversagen. Wäre es nicht eine Erleichterung für Patienten und Pflegende, wenn die ECMO auch als Plattform für andere Organersatzverfahren eingesetzt werden könnte?

• Literatur

• 1 Askenazi D, Selewski DT, Paden ML. et al Renal replacement therapy in critically ill patients receiving extracorporeal membrane oxygenation. CJASN 2012; 7 (08) 1328-36
• 2 Brogan TV, Lequier L, Lorusso R. et al Extracorporeal life support. The ELSO Red Book. 2017
• 3 Chen H, Yu RG, Yin NN. et al Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy in critically ill patients: a systematic review. Crit Care 2014; 18 (06) 675
• 4 Chen YC, Tsai FC, Fang JT. et al Acute kidney injury in adults receiving extracorporeal membrane oxygenation. Journal of the Formosan Medical Association 2014; 113 (11) 778-85
• 5 Crosswell A, Brain MJ, Roodenburg O. Vascular access site influences circuit life in continuous renal replacement therapy. Critical care and resuscitation: journal of the Australasian Academy of Critical Care Medicine 2014; 16 (02) 127-30
• 6 Fleming GM, Askenazi DJ, Bridges BC. et al A multicenter international survey of renal supportive therapy during ECMO: the Kidney Intervention During Extracorporeal Membrane Oxygenation (KIDMO) group. ASAIO journal (American Society for Artificial Internal Organs: 1992) 2012; 58 (04) 407-14
• 7 Han SS, Kim HJ, Lee SJ. et al Effects of Renal Replacement Therapy in Patients Receiving Extracorporeal Membrane Oxygenation: A Meta-Analysis. The Annals of thoracic surgery 2015; 100 (04) 1485-95
• 8 Murphy HJ, Cahill JB, Twombley KE. et al Implementing a practice change: early initiation of continuous renal replacement therapy during neonatal extracorporeal life support standardizes care and improves short-term outcomes. Journal of artificial organs: the official journal of the Japanese Society for Artificial Organs 2018; 21 (01) 76-85
• 9 Paden ML, Warshaw BL, Heard ML. et al Recovery of renal function and survival after continuous renal replacement therapy during extracorporeal membrane oxygenation. Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2011; 12 (02) 153-8
• 10 Santiago MJ, Sánchez A, López-Herce J. et al The use of continuous renal replacement therapy in series with extracorporeal membrane oxygenation. Kidney international 2009; 76 (12) 1289-92
• 11 Schmidt M, Bailey M, Kelly J. et al Impact of fluid balance on outcome of adult patients treated with extracorporeal membrane oxygenation. Intensive Care Med 2014; 40 (09) 1256-66
• 12 Suga N, Matsumura Y, Abe R. et al A safe procedure for connecting a continuous renal replacement therapy device into an extracorporeal membrane oxygenation circuit. Journal of Artificial Organs: the official journal of the Japanese Society for Artificial Organs 2017; 20 (02) 125-31
• 13 Thajudeen B, Kamel M, Arumugam C. et al Outcome of patients on combined extracorporeal membrane oxygenation and continuous renal replacement therapy: a retrospective study. The International Journal of Artificial Organs 2015; 38 (03) 133-7
• 14 de Tymowski C, Augustin P, Houissa H. et al CRRT Connected to ECMO: Managing High Pressures. ASAIO journal (American Society for Artificial Internal Organs: 1992) 2017; 63 (01) 48-52
• 15 Willam C, John S, Eckhardt KU. KDIGO-Leitlinien zum akuten Nierenversagen. Bayerisches Ärzteblatt 2015; 7 (08) 344-8