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Replacement fluids or ultrafiltrate flows did not differ between groups. There were no differences in lactate concentration, isotonic crystalloid requirement, or norepinephrine doses. No difference was found in electrolyte concentrations between the commercial and improvised replacement solutions. Conclusion The ImpRRT system achieved similar performance to CRRT and may represent a potential option for temporary RRT following disasters.We present the case of a 3-month-old boy with pulmonary arterial hypertension after corrective repair of total anomalous pu