At a glance
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MEtabolic Consequences of Continuous Renal Replacement Therapy and Impact on Indirect cAlorimetry Study
In Brief
A clinical study evaluating blood gas analysis under citrate predilution, filter replacement, and 7 other interventions for Continuous Renal Replacement Therapy and 3 related conditions. Completed, enrolled 10 participants across 1 site.
Detailed Summary
The aim of the present study is to assess the metabolic impact of Continuous Renal Replacement Therapy and overview the obstacles and important factors compromising the use of Indirect Calorimetry in CRRT and suggest a model to overcome these issues.
Study Details
Timeline
Interventions
blood gas analysis of blood on different sample points and dialysis fluid
Using local protocol: stop and disconnect CRRT, replace filter and reconnect and restart CRRT.
monitor patients during the whole study period with indirect calorimetry
Replace citrate predilution with NaCl
repeat blood gas analysis of blood on different sample points and dialysis fluid
double the ultrafiltration fluid by augmenting post dilution fluid and keeping ultrafiltration at the same rate.
repeat blood gas analysis of blood on different sample points and dialysis fluid
pause parenteral and enteral nutrition before indirect calorimetry is performed. and restart after first blood analysis for vitamine status
blood analysis for vitamin and trace elements. Perform this blood analysis after restart of CRRT but before restart of nutritional therapy, 30 minutes after restart of nutritional therapy and 24h after restart of nutritional therapy.