Naslov
The life-threatening hemodialysis catheter heparin lock caused bleeding in a child after peritoneal catheter removal

Autori
Novak, Milivoj ; Cvitković, Miran ; Galić, Slobodan ; Luetić, Tomislav ; Ćavar, Stanko ; Puretić, Zvonimir

Izvornik
Journal of pediatric surgery (0022-3468) 43 (2008), 3; E41-e44

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
hemorrhage; heparin administration; peritoneal and hemodialysis

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA