Anticoagulation in CRRT: Systemic or Regional?

Review of the Methods to Prevent Femoral Arteriotomy Complications and Contrast Nephropathy in Patients Undergoing Cardiac Catheterization

“…50 In addition, in similar studies with patients who have chronic renal insufficiency, it has been shown that IV saline solution administration that is begun preprocedure and continued postprocedure is effective in decreasing renal dysfunction. 14,15,47,51 In our study all of institutions administered fluid therapy in accordance with the literature when risk factors were present such as diabetes mellitus and renal dysfunction; oral hydration is used instead of IV fluid replacement in the absence of risk factors. 14,15,47,51 The majority (86.2%) of institutions in our study had patients undergoing cardiac catheterization flat on their backs with, at most, an elevation of 15 to 30 degrees in the head of bed before and after removing the femoral cannula.…”

“…14,15,47,51 In our study all of institutions administered fluid therapy in accordance with the literature when risk factors were present such as diabetes mellitus and renal dysfunction; oral hydration is used instead of IV fluid replacement in the absence of risk factors. 14,15,47,51 The majority (86.2%) of institutions in our study had patients undergoing cardiac catheterization flat on their backs with, at most, an elevation of 15 to 30 degrees in the head of bed before and after removing the femoral cannula. Patients who undergo cardiac catheterization experience back pain during the period of strict bed rest.…”