title: Heparinisation in chronic haemodialysis treatment: bolus injection or continuous homogeneous infusion?
abstract: After several incidents where patients either bled after dialysis or suffered severe anaphylactic reactions caused by intravenous heparin injections, we decided to administer heparin as a continuous homogeneous intravenous infusion. This had been usual practice in our unit in the past. Following the shocking experience of the death of a patient due to an anaphylactic reaction during his first dialysis, we wanted to warn colleagues for the potential dangers of administering intravenous heparin as a bolus injection.
authors.affiliation: Werken Glorieux Hospital, Ronse, Belgium. 106111.2261@compuserve.com
authors.forename: J Y
authors.initials: JY
authors.lastname: De Vos
authors.forename: H
authors.initials: H
authors.lastname: Marzoughi
authors.forename: R
authors.initials: R
authors.lastname: Hombrouckx
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000209:etiology; D000925:Anticoagulants / Q000008:administration & dosage* / Q000009:adverse effects; D002908:Chronic Disease; D017809:Fatal Outcome; D006801:Humans; D007262:Infusions, Intravenous; D007275:Injections, Intravenous; D008297:Male; D017762:Nadroparin / Q000008:administration & dosage* / Q000009:adverse effects; D006435:Renal Dialysis / Q000379:methods / Q000451:nursing
chemical_list: D000925:Anticoagulants; D017762:Nadroparin