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Heparinisation in chronic haemodialysis treatment: bolus injection or continuous homogenous infusion?
Author(s) -
Vos J.Y.,
Marzoughi H.,
Hombrouckx R.
Publication year - 2000
Publication title -
edtna‐erca journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1019-083X
DOI - 10.1111/j.1755-6686.2000.tb00072.x
Subject(s) - medicine , heparin , bolus (digestion) , anesthesia , dialysis , anaphylactic reactions , continuous infusion , intravenous bolus , homogeneous , anaphylaxis , intensive care medicine , surgery , allergy , physics , immunology , thermodynamics
Summary After several incidents where patients either bled after dialysis or suffered severe anaphylactic reactions caused by intravenous heparin injections, we decided to administer heparin as a continuous homogenous intravenous infusion. This had been usual practice in our unit in the past. Following the shocking experience of the death of a patient due to an anaphylactic reaction during his first dialysis, we wanted to warn colleagues for the potential dangers of administering intravenous heparin as a bolus injection.