Use of High-Flow Continuous Renal Replacement Therapy with Citrate Anticoagulation to Control Intracranial Pressure
Joshua E Medow1, Shalin R Sanghvi2, R Michael Hofmann2
1Department of Neurosurgery, University of Wisconsin, Madison, WI USA medow@neurosurgery.wisc.edu.
Abstract:
Traumatic brain injury and intracranial hypertension often require treatment to optimize patient outcome. There are a variety of complex medical conditions that can preclude standard approaches to the treatment of intracranial hypertension. We describe a case where a novel approach using continuous dialysis with trisodium citrate was used to optimize the outcome of a young male with acute renal failure and acute respiratory distress syndrome in the setting of acute traumatic brain injury.
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