The life-threatening hemodialysis catheter heparin lock caused bleeding in a child after peritoneal catheter removal
| Autor: | Slobodan Galić, Tomislav Luetić, Zvonimir Puretic, Stanko Ćavar, Miran Cvitković, Milivoj Novak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion medicine.medical_treatment hemorrhage heparin administration peritoneal and hemodialysis Hemodialysis Catheter Hemorrhage Risk Assessment Severity of Illness Index Catheterization Severity of illness medicine Humans Blood Transfusion Protamines Device Removal Dialysis Heparin business.industry Infant General Medicine Acute Kidney Injury Surgery Catheter Treatment Outcome Pediatrics Perinatology and Child Health Equipment Failure Hemodialysis business Complication Peritoneal Dialysis Follow-Up Studies medicine.drug |
| Popis: | Hemodialysis catheter patency is regularly maintained by high-concentration heparin filling, according to manufacturer's recommendation. Surprisingly, there are only few reports on serious bleeding complications in children on dialysis. A case of serious, life-threatening hemorrhage in a child after tunneled peritoneal catheter removal because of hemodialysis catheter heparin lock flushing is described. Discussion of the literature data is presented. Further investigations are needed to develop the guidelines for pediatric dialysis catheter care, including the optimal concentration for heparin lock as the possible heparin alternatives, but until that moment, previously suggested guidelines to prevent hemorrhagic complications in dialyzed children should be emphasized. |
| Databáze: | OpenAIRE |
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