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Involvement of medical engineer in critical care nephrology Mayuka YAMADA 1 , Koichi KAMIOKA 2 1Department of Clinical Engineering/Emargency and Critical Care Section Saiseikai Yokohamashi Tobu Hospital 2Department of Clinical Engineering Tokyo Medical University Hospital pp.425-434
Published Date 2023/7/1
DOI https://doi.org/10.11477/mf.3102201100
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Issues and alarms during continuous renal replacement therapy (CRRT) can be classified into patient-caused and device-caused. Device-caused issues can be identified and handled by looking at the pressure in each circuit. These issues cannot be judged by a single item, however, and should instead be judged in a complex manner. Hemofilter blood leakage is very infrequent, but when it occurs, the hemofilter must be replaced, so it is important to check the color of the drainage. Connecting extracorporeal membrane oxygenation (ECMO) circuits to CRRT should be avoided in all ECMO patients. If implemented, it is important that the appropriate circuit configuration, features, and alarm management be shared among the medical staff.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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