Monday, September 17, 2012
Q: 57 year old male severe diabetes and ESRD, 'coded' in cath lab. Patient is now in ICU after VA-ECMO (inserted by surgeon after cut down). Looking at previous record you found that patient is extremely vasculopath and putting dialysis catheter would be "next to impossible". Nephrology wrote orders to start CVVHD. What would be your option?
Answer: Doing CRRT via ECMO cannulation
If situation arise, CRRT can be performed simultaneouly via same cannulas.