Interaction between Renal Replacement Therapy and Extracorporeal Membrane Oxygenation Support
Thiago Gomes Romano*
Assistant Teaching Professor for the Discipline of Nephrology, ABC Medical School Medical Intensivist at Hospital, Sírio-Libanês, Brazil
- *Corresponding Author:
- Thiago Gomes Romano
Assistant Teaching Professor for the Discipline of Nephrology
ABC Medical School Medical Intensivist at Hospital
E-mail: [email protected]
Received date: October 14, 2013; Accepted date: December 17, 2013; Published date: January 02, 2014
Citation: Romano TG (2014) Interaction between Renal Replacement Therapy and Extracorporeal Membrane Oxygenation Support . Surgery Curr Res 4:154. doi:10.4172/2161-1076.1000154
Copyright: © 2014 Romano TG. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Extracorporeal Membrane Oxygenation (ECMO) is one of the designations used for extracorporeal circuits capable of oxygenation, carbon dioxide removal and, eventually, circulatory support. Acute respiratory distress syndrome with severe hypoxemia or acidemia with high carbon dioxide levels in a scenario of low pulmonary tidal volume is its mainly indication. Acute Kidney Injury (AKI) and its complications such as volume overload and azotemia are common in this situation; some epidemiological studies have shown that around 78% of the patients demanding ECMO therapy develop AKI. Therefore, renal replacement therapy is required in about 50% of those cases. This papers aims to explain the concept of the ECMO circuit and the ways continuous renal replacement therapy (CRRT) can be instituted in critical ill patients who need ECMO.