The comparison of circuit lifespan between integration and separation approach in extracorporeal membrane oxygenation (ECMO) patient requiring continuous renal replacement therapy (CRRT) support, (E-CRRT Trial)

Author:

Tangjitaree Prasittiporn1,Thanapongsatorn Peerapat2,Sinjira Tanyapim1,Suttiruk Pongpon2,Srisawat Nattachai2

Affiliation:

1. Division of Critical Care Medicine, Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Critical Care Excellent Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand, 10400

2. Excellence Center for Critical Care Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand, 10400

Abstract

Background: The estimated incidence of acute kidney injury requiring continuous renal replacement therapy (CRRT) in patients necessitating extracorporeal membrane oxygenation (ECMO) is approximately 50%. Currently, two well-known techniques—integration and separation—are utilized for combining CRRT and ECMO circuits. The efficacy of these two techniques is still unknown. Therefore, this study aimed to compare the circuit lifespan of CRRT between the integration and separation techniques. Methods: A multicentered randomized controlled study with an unblinded design will be conducted to determine circuit lifespan differences between integration and separation techniques. Hypothesis: We hypothesize that the integration technique will yield a longer circuit lifespan for CRRT compared to the separation technique. Trial registration: NCT05036616

Publisher

The Thai Society of Critical Care Medicine

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