Intermittent disconnection from Haemofiltration

[Pauline Bass]

Intermittent disconnection from Haemofiltration.

I was wondering what happens in other ICUs when a patient is disconnected from heamofiltration for a short period of time (ie: to attend CT or OR), and what the practice is regarding the circuit.

ie: Is the filtration circuit is taken down and discarded or, is the blood returned to the patient and the circuit maintained with saline running through it and if so, for how long?

For either practice does anyone have an evidence base?

Regards

Pauline

Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
Alfred Health
p.bass@alfred.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Penny Spencer]

HI Pauline
the process may very depending on the haemofilter and the
manufacturer’s recommendation. We currently use the prismaflex h/f and
the patient can be disconnected and the blood circulated for 60-
minutes. If longer than that the manufacture recommends discarding the
circuit. It is unusual that this would happen as you usually time the
procedures when the circuit crashes. It is a bit of a risk for BSI with
the connecting and disconnecting process. Other manufacturers would
possibly have different recommendations
Penn
Penny
Penny Spencer
Nurse Unit Manager
Critical Care Unit
St John of God – Bendigo
ph. 03 5434 3436
Mon-Fri
y
>>> Pauline Bass

22/02/2011 3:19 PM >>>
Intermittent disconnection from Haemofiltration.

I was wondering what happens in other ICUs when a patient is
disconnected from heamofiltration for a short period of time (ie: to
attend CT or OR), and what the practice is regarding the circuit.

ie: Is the filtration circuit is taken down and discarded or, is the
blood returned to the patient and the circuit maintained with saline
running through it and if so, for how long?

For either practice does anyone have an evidence base?

Regards

Pauline

Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
Alfred Health
p.bass@alfred.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

intended recipient. They may contain confidential or privileged
information. This information may not necessarily be the view of St John
of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or
guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
reliance, interference with, disclosure, distribution or copying of this
information by you is unauthorised and prohibited. If you have received
this email in error then please notify the sender by return email and
delete all copies. SJGHC does not waive any privilege.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts