ELSO AKI/Fluid 2022 — Extracorporeal Life Support Organization Guidelines for Fluid Overload, Acute Kidney Injury, and Electrolyte Management
Extracorporeal Life Support Organization, 2022
ECMO patients require serial assessment of fluid balance, kidney function and electrolytes. Avoid both inadequate preload that compromises circuit drainage and persistent fluid overload that worsens organ edema; use kidney replacement therapy for standard indications and when fluid/electrolyte goals cannot otherwise be achieved.
Clinical Context & Relevant Topics (3)
Disease ReferenceSpecialist-level VV/VA ECMO bedside management: selection, cannulation, gas exchange, hemodynamics, anticoagulation, circuit troubleshooting, organ support, ultrasound, ECPR, weaning and decannulation.
Sepsis-AKI microcirculatory decoupling, KDIGO staging, Furosemide Stress Test (FST), urine microscopy, and the AEIOU dialysis threshold framework.
Principles of convection vs diffusion, filtration fraction, delivered effluent dosing (20–25 mL/kg/h), Regional Citrate Anticoagulation, and citrate toxicity.