A simple solution to pseudoarrhythmia during continuous renal replacement therapy.
Electrical artifacts during continuous renal replacement therapy can make cardiac monitoring difficult and have, in the past, resulted in unnecessary and potentially harmful treatment when such artifacts are mistaken for arrhythmias. A case report illustrating such an artifact is described, as well as a simple method for grounding the fluid pathway which resulted in the disappearance of the pseudoarrhythmia seen during continuous renal replacement therapy.
Graansma
Clarence
C
Grand River Hospital, Kitchener, Ontario. clarence.graansma@grhosp.on.ca
Liu
Tom T
TT
Tobe
Sheldon W
SW
D000368:Aged; D000369:Aged, 80 and over; D016477:Artifacts; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000209:etiology*; D001282:Atrial Flutter / Q000175:diagnosis / Q000209:etiology*; D017097:Electric Impedance; D004562:Electrocardiography; D006801:Humans; D008991:Monitoring, Physiologic / Q000009:adverse effects* / Q000295:instrumentation; D017582:Renal Replacement Therapy / Q000009:adverse effects* / Q000295:instrumentation; D055672:Static Electricity / Q000009:adverse effects*