About: Prostacyclin versus citrate in continuous haemodiafiltration: An observational study in patients with high risk of bleeding     Goto   Sponge   NotDistinct   Permalink

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  • The efficacy and safety of prostacyclin (PGI(2)) and citrate (ACD) anticoagulation were observed and compared during continuous haemodiafiltration. Methods: Mechanically ventilated patients received either the PGI(2) analogue epoprostenol (group A, n = 17) in escalating doses of 4.5 - 10.0 ng center dot kg(-1) center dot min(-1) in combination with heparin (6 IU center dot kg(-1) center dot h(-1)) or 2.2% ACD ( group B, n = 15). Blood flow was set to match the circuit-filling volume per unit time equal to the intravascular half-life of PGI(2). Results: Median filter lifetimes were 26 h (interquartile range 16 - 37) in group A ( 39 filters) and 36.5 h ( interquartile range 23 - 50) in group B (56 filters; p < 0.01). In group A, 4 patients (23.5%, p < 0.05) had the dose reduced due to hypotension. The final mean dose of PGI(2) was 8.7 +/- 2.4 ng center dot kg(-1) center dot min(-1). Four patients in group A (23.5%, p < 0.05) were switched to ACD due to a decrease in platelet count. No bleeding
  • The efficacy and safety of prostacyclin (PGI(2)) and citrate (ACD) anticoagulation were observed and compared during continuous haemodiafiltration. Methods: Mechanically ventilated patients received either the PGI(2) analogue epoprostenol (group A, n = 17) in escalating doses of 4.5 - 10.0 ng center dot kg(-1) center dot min(-1) in combination with heparin (6 IU center dot kg(-1) center dot h(-1)) or 2.2% ACD ( group B, n = 15). Blood flow was set to match the circuit-filling volume per unit time equal to the intravascular half-life of PGI(2). Results: Median filter lifetimes were 26 h (interquartile range 16 - 37) in group A ( 39 filters) and 36.5 h ( interquartile range 23 - 50) in group B (56 filters; p < 0.01). In group A, 4 patients (23.5%, p < 0.05) had the dose reduced due to hypotension. The final mean dose of PGI(2) was 8.7 +/- 2.4 ng center dot kg(-1) center dot min(-1). Four patients in group A (23.5%, p < 0.05) were switched to ACD due to a decrease in platelet count. No bleeding (en)
Title
  • Prostacyclin versus citrate in continuous haemodiafiltration: An observational study in patients with high risk of bleeding
  • Prostacyclin versus citrate in continuous haemodiafiltration: An observational study in patients with high risk of bleeding (en)
skos:prefLabel
  • Prostacyclin versus citrate in continuous haemodiafiltration: An observational study in patients with high risk of bleeding
  • Prostacyclin versus citrate in continuous haemodiafiltration: An observational study in patients with high risk of bleeding (en)
skos:notation
  • RIV/00216208:11120/05:00002337!RIV11-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 539336
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/05:00002337
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • acute renal failure; renal replacement therapy; haemodiafiltration; prostacyclin; citrate (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CH - Švýcarská konfederace
http://linked.open...ontrolniKodProRIV
  • [EFEE1360C38C]
http://linked.open...i/riv/nazevZdroje
  • Blood Purification
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 23
http://linked.open...iv/tvurceVysledku
  • Balík, Martin
  • Waldauf, Petr
  • Pachl, Jan
  • Plášil, Petr
issn
  • 0253-5068
number of pages
http://localhost/t...ganizacniJednotka
  • 11120
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