Do you recommend automatically starting CRRT anticoagulation when initiating CRRT if there are no medical contraindications to anticoagulation?

Great question. My practice is that we don't. However, I wonder if we should. In any case, it is not unreasonable not to give it at the beginning and start it if the patient clots daily or more often. I think bleeding episodes tend to be very dramatic at times and result in clouding our judgement a ...

During my fellowship, the standard was to not use anticoagulation as we start and to do regional citrate anticoagulation if we encountered frequent clotting issues. We did CVVH only as that time. We encountered issues with clotting frequently and issues with the local citrate anticoagulation with ci...