Citrate Protocol Explained: A Prismax Perspective by Conxita Rovira MD.

This audio recording presents a detailed discussion about Continuous Renal Replacement Therapy (CRRT), a vital treatment for critically ill patients needing continuous blood filtration. The core focus lies on citrate anticoagulation as a preferred method over traditional heparin, highlighting its regional effect and reduced bleeding risks. The discussion covers Dr. Rovira's specific protocol using the Prismax machine, emphasizing meticulous attention to catheter placement, fluid management, and calcium level monitoring to avoid complications like citrate accumulation. Ultimately, the conversation explores the challenges and future opportunities in CRRT, advocating for broader citrate adoption through improved training, cost-effective policies, and technological advancements, all while emphasizing the dynamic nature of the therapy and the need for continuous learning and individualized patient care.