Francesco Cardona Posted June 21, 2016 Share Posted June 21, 2016 I am curious. Do you lock your central venous catheters which are not in use? How often do you change the lock? 1 Link to comment Share on other sites More sharing options...
Stefan Johansson Posted June 21, 2016 Share Posted June 21, 2016 @fcardona my answer is simple - we don't use locks for central ven catheters, we keep infusions going (at least 1 ml/h) until we take them out. 2 Link to comment Share on other sites More sharing options...
gayle omansky Posted June 21, 2016 Share Posted June 21, 2016 We also run our central venous caths at min of 1ml/hr. We recently locked one side of a double lumen venous cath (as a physician preference), & found that it clotted even with regular flushes. Link to comment Share on other sites More sharing options...
livesynapse Posted June 22, 2016 Share Posted June 22, 2016 I agree. No locks for CVCs. However, we have been able to keep them from clotting with saline at 0.8cc/h in very tiny babies in whom we really need to watch fluid intakes. Link to comment Share on other sites More sharing options...
Stefan Johansson Posted June 22, 2016 Share Posted June 22, 2016 @gayle omansky @livesynapse Do you add heparin to your infusion solution (used at 0.8 /1.0 ml/h)? The "Stockholm tradition" has been: hospitals on the northern side adds heparin, whereas those on the south side don't use heparin. I changed employer in 2014 and is now with a non-heparin NICU Since I came from a pro-heparin hospital I was a bit skeptical about not adding heparin to our low-flow saline in central catheters/lines. But, it seems to work equally well. Link to comment Share on other sites More sharing options...
Francesco Cardona Posted June 22, 2016 Author Share Posted June 22, 2016 If we continue with low rate infusion, we add heparin to the infusion solution 2 IE/kg/h. I am not really sure that makes sense. Link to comment Share on other sites More sharing options...
RMM Posted June 22, 2016 Share Posted June 22, 2016 Our unit does not lock our CVL or PICC's. We run heparinized saline at 1.0ml/hr to keep them patent or we remove them as soon as they are longer needed. 1 Link to comment Share on other sites More sharing options...
amirmasoud2012 Posted June 22, 2016 Share Posted June 22, 2016 No locks for CVCs. Link to comment Share on other sites More sharing options...
livesynapse Posted June 23, 2016 Share Posted June 23, 2016 No heparin. Just saline and, as long as the infusion keeps going, they don't clog. We also remove them asap. 1 Link to comment Share on other sites More sharing options...
cmcdermott Posted July 5, 2016 Share Posted July 5, 2016 We also do not use heparin or locks but run an infusion at 1ml/hr. If not required we remove the line ASAP Link to comment Share on other sites More sharing options...
Francesco Cardona Posted July 6, 2016 Author Share Posted July 6, 2016 Here is some literature on the subject: http://www.ncbi.nlm.nih.gov/pubmed/27222450?dopt=Abstract Quote Int J Nurs Stud. 2016 Jul;59:51-9. Heparin versus 0.9% sodium chloride intermittent flushing for the prevention of occlusion in long term central venous catheters in infants and children: A systematic review. Bradford NK(1), Edwards RM(2), Chan RJ(3). Link to comment Share on other sites More sharing options...
Aymen Eshene Posted July 12, 2016 Share Posted July 12, 2016 We don,t lock CVS Link to comment Share on other sites More sharing options...
gayle omansky Posted August 5, 2016 Share Posted August 5, 2016 Hi Stephan, We still add Heparin to all our central line infusions at 0.5u/ml. This is a very interesting discussion & we may need to reconsider our practice. Thanks! 1 Link to comment Share on other sites More sharing options...
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