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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 2/2021

01-04-2021 | Acute Kidney Injury | Review Article

Renal replacement therapy during extracorporeal membrane oxygenation

Authors: Balasubramanian Subbarayan, Vadamalai Vivek, Madhan Kumar Kuppuswamy

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Special Issue 2/2021

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Abstract

The use of extracorporeal membrane oxygenator (ECMO) has significantly increased in the past 20 years. There is a high incidence of acute kidney injury (AKI) in the group of patients on ECMO, with need for continuous renal replacement therapy (CRRT) in most of them. This article will review the basics of CRRT, its indications, the technical aspects of incorporating CRRT with ECMO circuit, data on clinical aspects, and outcomes.
Literature
1.
Santiago MJ, Sánchez A, López-Herce J, et al. The use of continuous renal replacement therapy in series with extracorporeal membrane oxygenation. Kidney Int. 2009;76:1289–92.CrossRef
2.
Symons JM, McMahon MW, Karamlou T, Parrish AR, McMullan DM. Continuous renal replacement therapy with an automated monitor is superior to a free-flow system during extracorporeal life support. Pediatr Crit Care Med. 2013;14:e404–8.CrossRef
3.
Aubron C, Cheng AC, Pilcher D, et al. Factors associated with outcomes of patients on extracorporeal membrane oxygenation support: a 5-year cohort study. Crit Care. 2013;17:R73.CrossRef
4.
Hei F, Lou S, Li J, et al. Five-Year Results of 121 Consecutive patients treated with extracorporeal membrane oxygenation at Fu Wai Hospital. Artif Organs. 2011;35:572–8.CrossRef
5.
Lin CY, Chen YC, Tsai FC, et al. RIFLE classification is predictive of short-term prognosis in critically ill patients with acute renal failure supported by extracorporeal membrane oxygenation. Nephrol Dial Transplant. 2006;21:2867–73.CrossRef
6.
Seczyńska B, Królikowski W, Nowak I, Jankowski M, Szułdrzyński K, Szczeklik W. Continuous renal replacement therapy during extracorporeal membrane oxygenation in patients treated in medical intensive care unit: technical considerations. Ther Apher Dial. 2014;18:523–34.CrossRef
7.
Zwiers AJ, de Wildt SN, Hop WC, et al. Acute kidney injury is a frequent complication in critically ill neonates receiving extracorporeal membrane oxygenation: a 14-year cohort study. Crit Care. 2013;17:R151.CrossRef
8.
Barbar SD, Clere-Jehl R, Bourredjem A, et al. Timing of renal-replacement therapy in patients with acute kidney injury and sepsis. N Engl J Med. 2018;379:1431–42.CrossRef
9.
Bouman CSC, Oudemans-Van Straaten HM, Tijssen JG, Zandstra DF, Kesecioglu J. Effects of early high-volume continuous venovenous hemofiltration on survival and recovery of renal function in intensive care patients with acute renal failure: a prospective, randomized trial. Crit Care Med. 2002;30:2205–11.CrossRef
10.
Combes A, Bréchot N, Amour J, et al. Early high-volume hemofiltration versus standard care for post-cardiac surgery shock. The HEROICS study. Am J Respir Crit Care Med. 2015;192:1179–90.CrossRef
11.
Gaudry S, Hajage D, Schortgen F, et al. Initiation strategies for renal-replacement therapy in the intensive care unit. N Eng J Med. 2016;375:122–33.CrossRef
12.
Jamale TE, Hase NK, Kulkarni M, et al. Earlier-start versus usual-start dialysis in patients with community-acquired acute kidney injury: a randomized controlled trial. Am J Kidney Dis. 2013;62:1116–21.CrossRef
13.
Wald R, Adhikari NK, Smith OM, et al. Comparison of standard and accelerated initiation of renal replacement therapy in acute kidney injury. Kidney Int. 2015;88:897–904.CrossRef
14.
Zarbock A, Kellum JA, Schmidt C, et al. Effect of early vs delayed initiation of renal replacement therapy on mortality in critically Ill patients with acute kidney injury: the ELAIN randomized clinical trial. JAMA. 2016;315:2190–9.CrossRef
15.
Besen BAMP, Romano TG, Mendes PV, et al. Early versus late initiation of renal replacement therapy in critically ill patients: systematic review and meta-analysis. J Intensive Care Med. 2019;34:714–22.CrossRef
16.
Paek JH, Park S, Lee A, et al. Timing for initiation of sequential continuous renal replacement therapy in patients on extracorporeal membrane oxygenation. Kidney Res Clin Pract. 2018;37:239–47.CrossRef
17.
Fleming GM, Askenazi DJ, Bridges BC, et al. A multicenter international survey of renal supportive therapy during ECMO: the Kidney Intervention During Extracorporeal Membrane Oxygenation (KIDMO) group. ASAIO J. 2012;58:407–14.CrossRef
18.
Ostermann M, Connor M, Kashani K. Continuous renal replacement therapy during extracorporeal membrane oxygenation: why, when and how? Curr Opin Crit Care. 2018;24:493–503.CrossRef
19.
Villa G, Katz N, Ronco C. Extracorporeal membrane oxygenation and the kidney. Cardiorenal Med. 2015;6:50–60.CrossRef
20.
Han SS, Kim HJ, Lee SJ, et al. Effects of renal replacement therapy in patients receiving extracorporeal membrane oxygenation: a meta-analysis. Ann Thorac Surg. 2015;100:1485–95.CrossRef
21.
Kielstein JT, Heiden AM, Beutel G, et al. Renal function and survival in 200 patients undergoing ECMO therapy. Nephrol Dial Transplant. 2013;28:86–90.CrossRef
22.
Wu MY, Lin PJ, Tsai FC, Haung YK, Liu KS, Tsai FC. Impact of preexisting organ dysfunction on extracorporeal life support for non-postcardiotomy cardiopulmonary failure. Resuscitation. 2008;79:54–60.CrossRef
23.
Thajudeen B, Kamel M, Arumugam C, et al. Outcome of patients on combined extracorporeal membrane oxygenation and continuous renal replacement therapy: a retrospective study. Int J Artif Organs. 2015;38:133–7.CrossRef
24.
Antonucci E, Lamanna I, Fagnoul D, Vincent JL, De Backer D, Silvio TF. The impact of renal failure and renal replacement therapy on outcome during extracorporeal membrane oxygenation therapy. Artif Organs. 2016;40:746–54.CrossRef
Metadata
Title
Renal replacement therapy during extracorporeal membrane oxygenation
Authors
Balasubramanian Subbarayan
Vadamalai Vivek
Madhan Kumar Kuppuswamy
Publication date
01-04-2021
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue Special Issue 2/2021
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-019-00920-0

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