Wednesday, March 15, 2017

Q: Is mobilization of patients while on Continuous Renal Replacement Therapy (CRRT) is absolute contraindication?


Answer:  No

Actually, there is now literature emerging to show that early mobilization of patients while on active CRRT can be beneficial, and may improve efficacy of CRRT by increasing the filter life.


References:

1. Wang YT, Haines TP, Ritchie P, Walker C, Ansell TA, Ryan DT, et al. Early mobilization on continuous renal replacement therapy is safe and may improve filter life. Crit Care Lond Engl. 2014;18:R161. 

2.  Toonstra AL, Zanni JM, Sperati CJ, Nelliot A, Mantheiy E, Skinner EH, et al. Feasibility and safety of physical therapy during continuous renal replacement therapy in the intensive care unit. Ann Am Thorac Soc. 2016;699–704.

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