CRRT circuit clot prevention
OVERVIEW
Steps in preventing CRRT circuits from clotting
- Circuit preparation
- Good access
- Appropriate blood flow rate
- Appropriate membrane size and type
- Pre-dilution
- Post-dilution into the air-bubble trap
- Training and education of staff
- Anticoagulation
A TROUBLE-SHOOTING APPROACH
LAMP:
- Line – position, suck down, flow
- Anticoagulation strategy – see below
- Machine – circuit, flows
- Patient – thrombogenicity
PROS AND CONS OF DIFFERENT ANTICOAGULATION STRATEGIES
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC