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IMPACT OF HEPARIN LOCKING FREQUENCY ON PREVENTING TEMPORARY DIALYSIS CATHETER DYSFUNCTION IN HAEMODIALYSIS PATIENTS
Author(s) -
Oran Nazan Tuna,
Eser Ismet
Publication year - 2008
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2008.00044.x
Subject(s) - medicine , catheter , heparin , thrombus , thrombosis , surgery , dialysis catheter , dialysis , anesthesia
SUMMARY A prospective analysis was conducted comparing dysfunction attributable to catheter thrombosis in subjects who received a heparin catheter lock three times a week (n = 15) to those who received a heparin lock six times a week (n = 15) immediately after the insertion of a temporary haemodialysis catheter. Thrombus related catheter removal occurred in two patients in control but no patients in the experiment group. Heparin locking six times a week was found to be effective in prolonging the mean of the first day where difficulty was experienced in aspiration. It also prevented any possible difficulty in catheter flushing. Increased locking frequency prevents any thrombus accumulation within the temporary catheter, while it has limited but significant preventive effect on thrombus accumulated around the catheter.