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At RRT Patients Surgical Therapy is often necessary. When hemodialysis (> because of e.g. severe Over-Hydration or Hyper-Potassium in the Blood) and Surgical Therapy will be close together in the time of Surgical Therapy, than there is the Danger of Bleeding, as Hemodialysis nearly always is attached with the anticoagulation of Heparin. Because of this anticoagulation often a Surgical Second Look is necessary to remove Hematomas. And for ICU Patients this Surgical Second Look is serious for the total outcome reps. survival. For ICU Patients the RCA (Regional Anticoagulation with Citric Acid) is a large-scale Set-Up for these Patients. So ionic Calcium must be measured online as well as a calculated dosage of Calcium must be replaced after the Dialyzer. In total, this requires knowledge, experience and special equipment. And that’s why the RCA is used very seldom, when there is Danger of Bleeding. So there is the question for a Set-Up with easy handling. For more: https://www.omicsonline.org/open-access/a-setup-for-hemodialysis-in-danger-of-bleeding-2161-0959.1000e111.php?aid=38990
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