The study investigators hypothesize that intermittent hemodialysis with regional citrate anticoagulation (Prometheus system/Frésénius) is more efficient than reduced systemic heparin anticoagulation in patients at bleeding risk hospitalized in nephrology intensive care unit
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
receive intermittent hemodialysis (Frésenius 4008) with blood flow at least of (200 ml/min) with double vascular access, biocompatible membrane dialyzer, low dose non fractionated heparine (5000 UI initially) and predilution with 25 mls/min dialysate
intermittent hemodialysis using Prometheus System with blood flow at least of 200 ml/min with double vascular access, biocompatible membrane dialyzer
CHU Nimes
Nîmes, France
Duration of intermittent hemodialysis between groups
Minutes
Time frame: End of intermittent hemodialysis session (average 4 hours)
Hemodialysis treatment adequacy
KT/V value
Time frame: End of intermittent hemodialysis session (average 4 hours)
Transmembrane pressure between groups
Time frame: End of intermittent hemodialysis session (average 4 hours)
Blood aspect in the extracorporeal treatment circuit
Clotting phenomena
Time frame: End of intermittent hemodialysis session (average 4 hours)
Occurrence of hemorrhage
Yes/no
Time frame: Hour 12
Occurrence of metabolic disorders (hypocalcemia, metabolic alkalose)
Yes/no
Time frame: Hour 12
Occurance of unexpected complications (almost none recorded in the literature)
Yes/no
Time frame: End of intermittent hemodialysis session (average 4 hours)
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