• Clin Med Res · Jun 2015

    Case Reports

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

    • Joshua E Medow, Shalin R Sanghvi, and R Michael Hofmann.
    • Department of Neurosurgery, University of Wisconsin, Madison, WI USA medow@neurosurgery.wisc.edu.
    • Clin Med Res. 2015 Jun 1; 13 (2): 89-93.

    AbstractTraumatic 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 acute respiratory distress syndrome in the setting of acute traumatic brain injury. © 2015 Marshfield Clinic.

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