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

Abstract

Volume 13, Number 2: 89-93 ©2015 Marshfield Clinic Health System clinmedres.org 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 acute respiratory distress syndrome in the setting of acute traumatic brain injury.

Effect of calcitriol combined with sevelamer carbonate on serum parathyroid hormone in patients with chronic renal failure

“…In recent years, the prevalence of chronic kidney disease has also increased (1). Hemodialysis is an important method for the treatment of this disease, but secondary hyperparathyroidism is one of the serious complications of long-term dialysis in patients with chronic renal failure, which can lead to Ca and P meta- (22). Many CKD and dialysis patients require the administration of phosphate binders to maintain normal serum phosphorus levels, and it is therefore recommended that CKD patients who have high phosphorus serum levels despite dietary phosphorus limitation use these drugs (23).…”