Flushing hemodynamic catheters: what does the science tell us?
نویسنده
چکیده
Flushing hemodynamic catheters is essential to maintain patency and therefore ensure accurate hemodynamic measurements, arterial blood sampling, and cardiac output determinations. Patency of hemodynamic catheters has been maintained for decades in critical care settings with pressurized infusions of heparinized saline to prevent clots from forming around or within catheters. Recently, the use of heparinized saline is being questioned because of the desire to eliminate as much heparin exposure as possible and thereby minimize risks such as heparin-induced thrombocytopenia (HIT). With an estimated incidence of 1% to 3%, HIT is a rare but life-threatening condition. Although this evolution may parallel the change from using heparin to lock peripheral intravenous catheters to using saline flushes, is robust evidence available to support a similar change in practice for hemodynamic catheters? This clinical review summarizes the current scientific evidence in relation to the following question: Is the patency of hemodynamic catheters, specifically arterial catheters and pulmonary artery catheters, greater when they are flushed with heparinized saline than when they are flushed with normal saline?
منابع مشابه
The effects of pulsatile flushing on phlebitis and peripheral intravenous catheters patency
Background and Aim: Thrombophlebitis is considered as a major cause of peripheral intravenous catheters (PICs) failure. The flushing technique in the laboratory has been effective in clearing the catheter duct, but its effectiveness in the clinical setting is unknown, therefore, the aim of this study was to determine the effect of pulsatile flushing on phlebitis, type, and duration of PICs pate...
متن کاملMistaking the Map for the Territory: What Society Does With Medicine; Comment on “Medicalisation and Overdiagnosis: What Society Does to Medicine”
Van Dijk et al describe how society’s influence on medicine drives both medicalisation and overdiagnosis, and allege that a major political and ethical concern regarding our increasingly interpreting the world through a biomedical lens is that it serves to individualise and depoliticize social problems. I argue that for medicalisation to serve this purpose, it would have to exclude the possibil...
متن کاملEffect of Continuous Flushing on Patency Time of Peripheral Intravenous Catheters
Background and purpose: Occlusion is a decreasing factor on longevity of peripheral intravenous catheters (PIVCs). Continuous flushing (injection of specific volume of solution such as Normal Saline (N/S) before and after each drug infusion into PIVCs at determined interval time) is one of the effective methods in in vitro studies to maintain the PIVCs patency. The aim of this study was to inve...
متن کاملFlushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit
Flushing and locking of intravenous catheters are thought to be essential in the prevention of occlusion. The clinical sign of an occlusion is catheter malfunction and flushing is strongly recommended to ensure a well-functioning catheter. Therefore fluid dynamics, flushing techniques, and sufficient flushing volumes are important matters in adequate flushing in all catheter types. If a cathete...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- American journal of critical care : an official publication, American Association of Critical-Care Nurses
دوره 17 1 شماره
صفحات -
تاریخ انتشار 2008