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Table 2 Recommendations for change of citrate flow based on post filter ionized calcium (iCa) concentration in Ci-Ca® CVVHD and percentage of study samples in each category depending on the instrument used for iCa measurement

From: Discrepant post filter ionized calcium concentrations by common blood gas analyzers in CRRT using regional citrate anticoagulation

Post filter iCa (mmol/L)

Change in citrate dose (citrate/blood)

GEM4000 (%)

pHOx (%)

Prime (%)

ABL90 (%)

Cobas b 123 (%)

RAPID point 500 (%)

>0.45

Increased by 0.3 mmol/La

0

28

72

12

0

22

0.40–0.45

Increased by 0.2 mmol/L

6

24

26

21

0

11

0.35–0.45

Increased by 0.1 mmol/L

6

42

3

36

0

11

0.24–0.35

No change

30

6

0

31

23

49

0.20–0.24

Decreased by 0.1 mmol/L

42

0

0

0

28

6

0.15–0.19

Decreased by 0.2 mmol/L

16

0

0

0

17

0

<0.15

Decreased by 0.3 mmol/La

0

0

0

0

32

0

  1. aand inform physician