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We are revising our guidelines for arterial lines. Currently we add heparin and lidocain to our arterial flush and run it with 0.5ml/h to 1.0ml/h. 

How do you handle intraarterial lines and are you aware of any literature on the subject?

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Thanks for your answers. Any other arterial flush compositions used?

 

Another question: I was recently asked how we can return the blood drawn as waste before obtaining samples. Especially for the very preterm this will be quite a big volume of blood withdrawn. We currently return this blood via a venous line. Any thoughts about doing this via an arterial line? I would be concerned about possible clots developing while blood is drawn into the syringe.

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