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Gewählte Publikation:

Zobel, G; Trop, M; Muntean, W; Ring, E; Gleispach, H.
Anticoagulation for continuous arteriovenous hemofiltration in children.
Blood Purif. 1988; 6(2):90-95 Doi: 10.1159/000169489
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Co-Autor*innen der Med Uni Graz
Muntean Eugen
Ring Ekkehard
Trop Marija
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Abstract:
Continuous arteriovenous hemofiltration requires continuous anticoagulation to prevent early hemofilter clotting. We used heparin given continuously in the arterial line of the extracorporeal circuit as anticoagulant in children with initially normal coagulation status, and heparin and/or prostacyclin in high-risk bleeding patients with preexisting coagulopathy. Heparin infusion enabled a mean running time of 22.2 +/- 9.6 h, with the 0.1-m2 hemofilter and of 26.6 +/- 4.7 h with the 0.25-m2 hemofilter. The mean filter running time with combined heparin/prostacyclin infusion was 31 +/- 8.8 h. Prostacyclin as the sole antithrombotic agent provided good filter function only in 1 patient with preexisting coagulopathy. No adverse effects such as bleeding thrombosis, or hypotension were observed.
Find related publications in this database (using NLM MeSH Indexing)
Anticoagulants - therapeutic use
Child - therapeutic use
Child, Preschool - therapeutic use
Drug Combinations - therapeutic use
Epoprostenol - therapeutic use
Hemofiltration - therapeutic use
Heparin - therapeutic use
Humans - therapeutic use
Infant - therapeutic use
Infant, Newborn - therapeutic use
Platelet Count - drug effects
Time Factors - drug effects
Urea - metabolism

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