Continuous Renal Replacement Therapy (CRRT)
24-hour continuous blood purification for your most critically ill patients. Precise fluid management and metabolic control when hemodynamic stability is paramount.
CRRT Capabilities
State-of-the-art continuous renal replacement therapy for your ICU
24-Hour Continuous Treatment
Slow, continuous blood purification over 24 hours. Avoids the rapid fluid and solute shifts of intermittent hemodialysis.
Hemodynamic Stability
Gentle fluid removal maintains blood pressure in unstable patients. The preferred modality for patients on vasopressors.
Precise Fluid Control
Hourly fluid balance targets. Critical for patients with pulmonary edema, ARDS, or complex fluid management needs.
Multiple Modalities
CVVH, CVVHD, CVVHDF, and SLED available. Therapy customized to patient needs and clinical goals.
ICU Integration
Our nurses work seamlessly with your ICU team. Coordinated care with intensivists and nursing staff.
Advanced Protocols
Anticoagulation management including citrate protocols. Specialized dosing for sepsis, liver failure, and multiorgan dysfunction.
Why CRRT for Your ICU Patients
- Superior hemodynamic tolerance vs. intermittent HD
- Precise hourly fluid balance control
- Better outcomes in sepsis and multiorgan failure
- Continuous medication clearance management
- Regional citrate anticoagulation available
- 24/7 nephrologist oversight and nursing coverage
Trusted Partner Since 2008
Over 15 years of experience providing acute dialysis services to hospitals and healthcare facilities across Southern California.
When is CRRT Indicated?
Continuous renal replacement therapy is the preferred modality for critically ill patients who cannot tolerate intermittent hemodialysis. Key indications include:
- Hemodynamic instability: Patients on vasopressors or with severe hypotension
- Cerebral edema: Patients at risk for increased intracranial pressure
- Severe fluid overload: When gradual, controlled fluid removal is needed
- Sepsis with AKI: Continuous clearance of inflammatory mediators
- Liver failure: Hepatorenal syndrome and acute liver failure
- Post-cardiac surgery: Fluid management after bypass
CRRT Modalities We Offer
Our team is experienced in all forms of continuous renal replacement therapy:
- CVVH (Continuous Venovenous Hemofiltration): Convective clearance, ideal for middle molecule removal
- CVVHD (Continuous Venovenous Hemodialysis): Diffusive clearance for small solute removal
- CVVHDF (Continuous Venovenous Hemodiafiltration): Combined convective and diffusive clearance
- SLED (Sustained Low-Efficiency Dialysis): Hybrid therapy offering benefits of both continuous and intermittent approaches
Our CRRT Protocol
Every CRRT patient receives:
- Nephrologist-designed prescription based on clinical goals
- Dedicated dialysis nurse monitoring throughout treatment
- Hourly fluid balance assessments
- Medication dosing guidance for renally-cleared drugs
- Regular electrolyte monitoring and replacement
- Anticoagulation management (heparin or citrate protocols)
Frequently Asked Questions
How do you staff CRRT around the clock?
Our CRRT nurses work in shifts to provide 24/7 coverage. Each patient has a dedicated dialysis nurse monitoring their treatment at all times. Nephrologist oversight is available around the clock.
What CRRT machines do you use?
We use the latest generation CRRT platforms from leading manufacturers. All machines support CVVH, CVVHD, CVVHDF, and regional citrate anticoagulation protocols.
How do you handle anticoagulation?
We offer both systemic heparin and regional citrate anticoagulation (RCA). RCA is preferred for patients with bleeding risk or heparin-induced thrombocytopenia (HIT).
Can you help with medication dosing during CRRT?
Yes, our nephrologists provide guidance on medication dosing adjustments during CRRT. We account for drug properties and CRRT prescription parameters to optimize dosing.
What outcomes do you track?
We track filter life, fluid balance accuracy, metabolic control, catheter complications, and patient outcomes. Regular quality metrics are reviewed and shared with hospital partners.
Need CRRT Services for Your ICU?
Contact us to discuss implementing CRRT at your facility or for urgent patient consultations.