Kidney replacement therapy during extracorporeal membrane oxygenation: pathophysiology, technical considerations, and outcomes

被引：0

作者：

Lau, Michele Petrova Xin Ling ^{[1
]}

Ling, Ryan Ruiyang ^{[1
,2
,3
]}

Ong, Brandon Jin An ^{[1
]}

Cho, Hwa Jin ^{[4
,5
]}

Jeong, In-seok ^{[4
,6
]}

Sahoo, Tapas Kumar ^{[7
]}

Chua, Horng Ruey ^{[1
,8
]}

Shekar, Kiran ^{[9
,10
,11
,12
]}

Ramanathan, Kollengode ^{[1
,13
]}

机构：

[1] Natl Univ Hlth Syst, Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[2] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Anaesthesia, Singapore, Singapore

[3] Monash Univ, Australia & New Zealand Intens Care Res Ctr, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia

[4] Chonnam Natl Univ Hosp, Extracorporeal Circulat Res Team, Gwangju, South Korea

[5] Chonnam Natl Univ, Childrens Hosp, Div Pediat Intens Care & Pediat Cardiol, Dept Pediat, Gwangju, South Korea

[6] Chonnam Natl Univ Hosp & Med Sch, Dept Thorac & Cardiovasc Surg, Gwangju, South Korea

[7] Medanta Hosp Ranchi, Inst Crit Care & Anaesthesiol, Ranchi, India

[8] Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Nephrol, Singapore, Singapore

[9] Prince Charles Hosp, Adult Intens Care Serv, Brisbane, Australia

[10] Queensland Univ Technol, Sch Med, Gold Coast, Australia

[11] Univ Queensland, Fac Med, Gold Coast, Australia

[12] Bond Univ, Fac Hlth Sci & Med, Gold Coast, Australia

[13] Natl Univ Hlth Syst, Natl Univ Hosp, Cardiothorac Intens Care Unit, 1E Kent Ridge Rd, Singapore 119228, Singapore

来源：

RENAL FAILURE | 2025年 / 47卷 / 01期

关键词：

Extracorporeal membrane oxygenation; kidney replacement therapy; pathophysiology; acute kidney injury; ACUTE-RENAL-FAILURE; CONTINUOUS VENOVENOUS HEMOFILTRATION; FLUID OVERLOAD; IMPACT; INJURY; ECMO; INITIATION; PHARMACOKINETICS; AMLODIPINE; MANAGEMENT;

D O I：

10.1080/0886022X.2025.2486557

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The use of extracorporeal membrane oxygenation has been increasing over time, in part due to the COVID-19 pandemic. Whilst lifesaving, complications that must be managed are also associated with its use. AKI and fluid overload are complications of concern due to their associations with poor outcomes, and ability to be managed by additional interventions such as the use of kidney replacement therapy. Various modalities, timings, and types of kidney replacement therapy are currently being used and outcomes regarding its concurrent use with extracorporeal membranous oxygenation across centers may be mixed. In this review, we discuss the pathophysiology of AKI, methods, modalities and impact of concurrent extracorporeal membrane oxygenation and kidney replacement therapy.

引用

页数：12

共 95 条

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