Simplified citrate anticoagulation for CRRT without calcium replacement.

The authors describe a simplified method of providing regional citrate anticoagulation for Continuous Renal Replacement Therapy (CRRT) to patients. This simplified method could be beneficial for surgical patients needing renal replacement therapy where systemic anticoagulation is contraindicated and improve adoption of CRRT as a first choice therapeutic modality to treat acute renal failure in the post op surgical patient. The authors report only 5 patients and an intensly supervised, non randomized pilot study.