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However, the data clearly demonstrated blood recirculation using the 14Fr catheter, reducing CO2 removal efficiency.
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Prior to the study, catheter/fistula recirculation was excluded using the indicator dilution technique and the Krivitski method (HD 01 plus, Transonic Systems, Ithaca, New York State).
Specifically-designed catheters aimed at avoiding blood recirculation warranting the target blood flow are required.
Because blood recirculation depends mainly on the ratio of the flow in the catheter and in the vessel in which it is located, its impact on the delivered RRT dose is lesser in continuous RRT, which uses lower Q B than intermittent hemodialysis.
Because blood recirculation depends mainly on the ratio of the flow in the catheter and in the vessel in which it is located, its impact on the delivered RRT dose is lesser in continuous RRT, which uses lower QB than intermittent hemodialysis.
These concerns have recently been somewhat tempered by several studies involving use of RCA during extracorporeal liver support using the molecular adsorbent recirculation system.
Blood recirculation is minimized when the venous outlet is positioned in a large central vein with a high blood flow rate and therefore depends on the length of DCs.
Eqn 2 instead of eqn 1 was presented by Hildreth and Crisp (1976) as a 'corrected formula' to overcome problems of recirculation for calculation of clearance rate of bivalves when using the flow-through chamber method.
Based on simulations using the model, terminal BPA elimination in rats, but not humans, was found to be strongly influenced by the enterohepatic recirculation of BPA glucuronide.
The blood recirculation induced by these circuit set-ups is negligible, considering that the ratio of CRRT to ECMO blood flow is never greater than 0.1.
Blood recirculation occurs when dialyzed blood returning through the venous DC lumen reenters the extracorporeal circuit through the arterial lumen, rather than returning to the systemic circulation.
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