A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'

The use of citrate to anticoagulate the Continuous Renal Replacement Therapy (CRRT) circuit has not been widely adopted in Australia as an alternative to heparin due to treatment complexity and risks of metabolic complications and availability of suitable solutions. However, interest persists in cit...

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Bibliographic Details
Main Authors:	Davies, Hugh, Morgan, D., Leslie, Gavin
Format:	Journal Article
Published:	Elsevier Inc 2008
Subjects:	Continuous veno-venous haemodiafiltration Modified Alabama Protocol Regional citrate anticoagulation
Online Access:	http://hdl.handle.net/20.500.11937/7916

id	curtin-20.500.11937-7916
recordtype	eprints
spelling	curtin-20.500.11937-79162018-08-08T04:56:12Z A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol' Davies, Hugh Morgan, D. Leslie, Gavin Continuous veno-venous haemodiafiltration Modified Alabama Protocol Regional citrate anticoagulation The use of citrate to anticoagulate the Continuous Renal Replacement Therapy (CRRT) circuit has not been widely adopted in Australia as an alternative to heparin due to treatment complexity and risks of metabolic complications and availability of suitable solutions. However, interest persists in citrate anticoagulation as a viable alternative when heparin is either contraindicated or has failed to provide an adequate circuit lifespan due to dialyser clotting.This paper describes a practical protocol for the delivery of regional citrate anticoagulation for pre-dilutional CVVHDf. The protocol maintains the flexibility in dialysis/ haemofiltration dose prescription and advises on the requirement for monitoring and necessary adjustments to prevent the development of metabolic disturbances. This may assist regional citrate to achieve wider acceptance as an alternative anticoagulation strategy for critically ill patients. 2008 Journal Article http://hdl.handle.net/20.500.11937/7916 10.1016/j.aucc.2008.04.002 Elsevier Inc restricted
repository_type	Digital Repository
institution_category	Local University
institution	Curtin University Malaysia
building	Curtin Institutional Repository
collection	Online Access
topic	Continuous veno-venous haemodiafiltration Modified Alabama Protocol Regional citrate anticoagulation
spellingShingle	Continuous veno-venous haemodiafiltration Modified Alabama Protocol Regional citrate anticoagulation Davies, Hugh Morgan, D. Leslie, Gavin A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
description	The use of citrate to anticoagulate the Continuous Renal Replacement Therapy (CRRT) circuit has not been widely adopted in Australia as an alternative to heparin due to treatment complexity and risks of metabolic complications and availability of suitable solutions. However, interest persists in citrate anticoagulation as a viable alternative when heparin is either contraindicated or has failed to provide an adequate circuit lifespan due to dialyser clotting.This paper describes a practical protocol for the delivery of regional citrate anticoagulation for pre-dilutional CVVHDf. The protocol maintains the flexibility in dialysis/ haemofiltration dose prescription and advises on the requirement for monitoring and necessary adjustments to prevent the development of metabolic disturbances. This may assist regional citrate to achieve wider acceptance as an alternative anticoagulation strategy for critically ill patients.
format	Journal Article
author	Davies, Hugh Morgan, D. Leslie, Gavin
author_facet	Davies, Hugh Morgan, D. Leslie, Gavin
author_sort	Davies, Hugh
title	A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
title_short	A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
title_full	A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
title_fullStr	A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
title_full_unstemmed	A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'
title_sort	regional citrate anticoagulation protocol for pre-dilutional cvvhdf: the 'modified alabama protocol'
publisher	Elsevier Inc
publishDate	2008
url	http://hdl.handle.net/20.500.11937/7916
first_indexed	2018-09-06T18:21:30Z
last_indexed	2018-09-06T18:21:30Z
_version_	1610883363183263744

A regional citrate anticoagulation protocol for pre-dilutional CVVHDf: The 'Modified Alabama Protocol'

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