Go with the flow: how to avoid crashing (the filter)

The podcast focuses on optimizing dialysis procedures in the intensive care unit, addressing common challenges and offering practical solutions. It begins with a scenario about troubleshooting dialysis flow issues, emphasizing the importance of assessing the VASCATH. The discussion covers strategies for managing clotted dialysis circuits, including adjusting blood flow and pre-dilution techniques. A significant portion of the podcast is dedicated to anticoagulation methods, comparing systemic approaches like heparin to regional methods such as citrate. The speaker shares findings from a trial comparing citrate and heparin-protamine, highlighting the benefits of citrate in prolonging circuit life and reducing clotting. The podcast also addresses potential complications of citrate, such as citrate toxicity and metabolic imbalances, providing guidance on how to manage these issues.