Would you recommend CRRT instead of intermittent hemodialysis to prevent lithium rebound in a patient with lithium toxicity after an initial intermittent hemodialysis session?
Answer from: at Academic Institution
I think the best way to approach any "overdose" of a drug that is dialyzable and may have a rebound is to start with hemodialysis and run it until you have achieved your desired response (drug level, improvement in some other parameter) and follow that with CRRT to manage any rebound. This is well s...
There are multiple good ways of doing this. CRRT after intermittent hemo is one option. Daily or even more frequent dialysis is another option. SLED/PIRRT is yet another option. I think as long as we start lowering the lithium levels and monitoring them, it is going a long way towards fixing the pro...