title: Continuous renal replacement therapy during extracorporeal membrane oxygenation in patients treated in medical intensive care unit: technical considerations.
abstract: Extracorporeal membrane oxygenation (ECMO) is used as a salvage therapy in refractory acute respiratory distress syndrome (ARDS). Although technological progress in the ECMO systems improved the survival rate, prognosis is still significantly worsened by acute kidney injury (AKI), particularly if renal replacement therapy (RRT) is required. There are no exact guidelines recommending which techniques of ECMO and continuous RRT (CRRT) should be used for management of AKI coexisting with respiratory or circulatory failure, and how to combine them. The aim of this review is to describe methods of CRRT and ECMO simultaneous application, and to present advantages of various technical approaches versus possible complications.
authors.affiliation: 2nd Department of Medicine, Intensive Care Unit, Jagiellonian University, Medical College, Krakow, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Seczyńska
authors.forename: Wiesław
authors.initials: W
authors.lastname: Królikowski
authors.forename: Ilona
authors.initials: I
authors.lastname: Nowak
authors.forename: Miłosz
authors.initials: M
authors.lastname: Jankowski
authors.forename: Konstanty
authors.initials: K
authors.lastname: Szułdrzyński
authors.forename: Wojciech
authors.initials: W
authors.lastname: Szczeklik
mesh_terms: D058186:Acute Kidney Injury / Q000503:physiopathology / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D017410:Practice Guidelines as Topic; D011379:Prognosis; D017582:Renal Replacement Therapy / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D016879:Salvage Therapy; D015996:Survival Rate
keywords: Acute kidney injury; Acute respiratory distress syndrome; Continuous renal replacement therapy; Extracorporeal membrane oxygenation; Methods