Approaches to acute blood purification in our centre’s nurses and clinical engineers

Abstract

Acute bloodpurification is performed on critical ill patients in critical care. In particular, continuous hemodiafiltration is essential in critical care, especially for severely ill patients with acute renal failure, heart failure, pulmonary edema and sepsis. When continuous hemodiafiltration is performed, various treatments such as ventilation and assisted circulation are used, but many patients are hemodynamically unstable, requiring more accurate decisions and rapid responses. At our center, clinical engineers are on call during the night, and nurses are in charge of initial response to alarms, changing the rate of filtration, exchanging anticoagulants, dialysate and replacement fluid. It is important for clinical engineers to proactively approach nurses to reduce anxiety about continuous hemodiafiltration. Multidisciplinary cooperation is also considered important for improving medical safety and the quality of medical treatment.