2018 Volume 9 Issue 2 Pages 133-137
Our group performs blood purification therapy more than 1,500 times per year in the ICU. We attempt to prevent circuit coagulation and reduce complications such as bleeding by adjusting the anticoagulant dosage, according to the disease or condition. In addition, we try to prevent blood removal failure via precise placement of the indwelling blood purification catheter. During blood purification therapy, when key drugs for treatment and drugs with narrow safety margins are administered, we frequently measure blood concentrations so as to not impair the therapeutic effect. When performing blood purification therapy, the doctor, nurse, and clinical engineer briefly share information with the patient and observe the patient until hemodynamic stabilization is achieved.