Use of High-Flow Continuous Renal Replacement Therapy with Citrate Anticoagulation to Control ICP by Maintaining Hypernatremia in a Patient with Acute Brain Injury and Renal Failure

  • December 2014,
  • cmr.2014.1238;
  • DOI: https://doi.org/10.3121/cmr.2014.1238

Abstract

Traumatic brain injury and intracranial hypertension often require treatment to optimize patient outcome. There are a variety of complex medical conditions that can preclude standard approaches to the treatment of intracranial hypertension. We describe a case where a novel approach using continuous dialysis with trisodium citrate was used to optimize the outcome of a young male with acute renal failure and ARDS in the setting of acute traumatic brain injury.

  • Received March 13, 2014.
  • Revision received August 6, 2014.
  • Accepted August 13, 2014.
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