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Date Published: 27/01/2025
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DOI: https://doi.org/10.51298/vmj.v546i1.12533
Issue
Vol. 546 No. 1 (2025)
Section
Các bài báo
How to Cite
Trần, T. T. T., Đỗ, N. S., & Bùi, T. H. G. (2025). CONTINUOUS RENAL REPLACEMENT THERAPY IN PATIENTS TREATED WITH EXTRACORPOREAL MEMBRANE OXYGENATION: WHEN, INDICATIONS AND TREATMENT OUTCOMES. Vietnam Medical Journal, 546(1). https://doi.org/10.51298/vmj.v546i1.12533

CONTINUOUS RENAL REPLACEMENT THERAPY IN PATIENTS TREATED WITH EXTRACORPOREAL MEMBRANE OXYGENATION: WHEN, INDICATIONS AND TREATMENT OUTCOMES

Thị Thu Thảo Trần, Ngọc Sơn Đỗ, Thị Hương Giang Bùi

Main Article Content

Abstract

Objective: To describe the timing, certain indications for continuous renal replacement therapy (CRRT) in patients undergoing extracorporeal membrane oxygenation (ECMO), and the treatment outcomes for this patient group. Participants: Patients who underwent ECMO and received CRRT at the Centre for Critical Care Medicine, Bach Mai Hospital. Methods: This is a descriptive, observational study conducted on patients receiving both CRRT and ECMO techniques simultaneously. A total of 48 patients admitted to the center from August 2023 to June 2024 were included in the study, with 158 CRRT sessions performed until the patients were discharged from the center. Results: CRRT initiation occurred mostly within 6 hours (60.4%) after starting ECMO, with no cases beyond 24 hours. The most common indications were metabolic acidosis (52.1%), multi-organ failure (41.7%) and acute kidney injury (33,3%). Overall, 27 (56.3%) patients survived. Conclusion: ECMO patients requiring CRRT are critically ill.

Article Details

Keywords

Continuous renal replacement therapy, extracorporeal membrane oxygenation, combined modality, indications, timing, outcomes, CRRT, ECMO.

References

Seczyńska B, Królikowski W, Nowak I, Jankowski M, Szułdrzyński K, Szczeklik W. Continuous renal replacement therapy during extracorporeal membrane oxygenation in patients treated in medical intensive care unit: technical considerations. Ther Apher Dial. 2014;18(6):523-534.
2. Selewski DT, Cornell TT, Blatt NB, et al. Fluid overload and fluid elimination in pediatric patients receiving extracorporeal membrane oxygenation requiring continuous renal replacement therapy. Crit Care Med 2012; 40:2694-9. 10.1097/CCM. 0b013e318258ff01.
3. Toomasian JM, Bartlett RH. Hemolysis and ECMO pumps in the 21st century. Perfusion 2011; 26: 5–6.
4. Impact of fluid balance on outcome of adult patients treated with extracorporeal membrane oxygenation - PubMed. Accessed June 25, 2023. https://pubmed.ncbi.nlm.nih.gov/ 24934814/
5. Phạm Thế Nhân, Tổn thương thận cấp ở bệnh nhân được trao đổi oxy qua màng ngoài cơ thể (ECMO), Luận văn thạc sỹ y học, 2022.
6. Fleming GM, Askenazi DJ, Bridges BC, et al. A Multicenter International Survey of Renal Supportive Therapy During ECMO: The Kidney Intervention During Extracorporeal Membrane Oxygenation (KIDMO) Group. ASAIO J Am Soc Artif Intern Organs 1992. 2012;58(4):407-414.
7. Franco Palacios CR, Hoxhaj R, Thigpen C, Jacob J. Factors associated with post-hospitalization dialysis dependence in ECMO patients who required continuous renal replacement therapy. Ren Fail. 46(1):2343810. doi:10.1080/0886022X.2024.2343810