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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
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Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

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Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...

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Veno-Venous Extracorporeal Membrane Oxygenation in a Mouse
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Published on: October 24, 2018

Percutaneous cannulation for extracorporeal life support.

P Ganslmeier1, A Philipp, L Rupprecht

  • 1Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany. patrycja.ganslmeier@klinik.uni-regensburg.de

The Thoracic and Cardiovascular Surgeon
|March 9, 2011
PubMed
Summary

Percutaneous extracorporeal life support (ECLS) is a safe procedure for critically ill patients. Careful cannulation minimizes vascular complications like bleeding and limb ischemia, ensuring patient survival.

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Last Updated: Jun 3, 2026

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06:41

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Published on: October 24, 2018

Area of Science:

  • Cardiovascular Medicine
  • Intensive Care Medicine
  • Vascular Surgery

Background:

  • Extracorporeal life-support systems (ECLS) are crucial for acute cardiopulmonary failure and interhospital transfers.
  • This review focuses on cannulation strategies and vascular complications at our institution.

Purpose of the Study:

  • To analyze the incidence of vascular complications associated with percutaneous cannulation for ECLS.
  • To evaluate bleeding and limb ischemia rates following femoral, subclavian, and jugular vein access.

Main Methods:

  • Retrospective analysis of 464 ECLS implantations via percutaneous cannulation (2004-2009).
  • Adverse events, focusing on bleeding and limb ischemia, were analyzed based on vessel access and ECLS type.

Main Results:

  • 32 patients (6.9%) experienced bleeding complications, primarily after PECLA (3.9%).
  • 15 patients (3.2%) developed limb ischemia, mostly in the veno-arterial ECMO group.
  • No significant difference in ischemia was noted based on demographics or cannula size; survival was unaffected.

Conclusions:

  • Percutaneous ECLS is a safe procedure when performed with proper vessel visualization, exposure, and cannulation.
  • Optimal flow and minimal complications are achievable with accurate cannula placement.
  • Careful technique can lead to successful ECLS outcomes.