Hemodialysis catheter heparin lock related bleeding: Hemorrhagic shock every other day.

Autor: Marques J; Nephrology Department, Centro Hospitalar e Universitário Lisboa Central, Lisbon, Portugal., Duarte TI; Intensive Care Medicine Department, Centro Hospitalar e Universitário Lisboa Central, Lisbon, Portugal., Cotovio P; Nephrology Department, Centro Hospitalar e Universitário Lisboa Central, Lisbon, Portugal., Borges A; Intensive Care Medicine Department, Centro Hospitalar e Universitário Lisboa Central, Lisbon, Portugal., Germano N; Intensive Care Medicine Department, Centro Hospitalar e Universitário Lisboa Central, Lisbon, Portugal.
Jazyk: angličtina
Zdroj: The journal of vascular access [J Vasc Access] 2022 May; Vol. 23 (3), pp. 455-457. Date of Electronic Publication: 2021 Feb 11.
DOI: 10.1177/1129729821993973
Abstrakt: Catheter dysfunction is an important cause of catheter loss. In order to prevent this, locking solutions with minimal risk of systemic anticoagulation are used to ensure catheter patency. At present the most commonly used solutions are either heparin or sodium citrate. According to the literature use of sodium citrate may be advantageous in reducing bleeding events. We report a case of hemorrhagic shock following hemodialysis catheter lock with heparin, reversed after switching solution to sodium citrate.
Databáze: MEDLINE