Loss of catheter locking solution caused by fluid density.
The avoidance of clotting in catheter lumina between treatments usually entails locking with an anticoagulant solution such as heparin. In a previous work, it was shown that approximately 20% of locking solution flows from the catheter during instillation of the lock equal in volume to the lumen volume. Furthermore, the locking solution may spill into the blood stream under the influence of gravity. This work investigates the influence of density and viscosity of the locking solution on the volume and speed of locking solution loss from the catheter lumen. A large fraction of the catheter locking solution spills under the influence of gravity if the locking solution's density is higher than the fluid it spills to (blood). Locking solution lost is replaced by blood. Viscosity delays this process, but at 90 minutes after injection, the loss is completed even when highly viscous lock solutions are used. Slow administration of the lock has negligible influence upon the dynamics of the loss.
Polaschegg
Hans-Dietrich
HD
D000925:Anticoagulants / Q000494:pharmacology*; D002138:Calibration; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D006493:Heparin / Q000494:pharmacology*; D006801:Humans; D012996:Solutions; D014783:Viscosity
D000925:Anticoagulants; D012996:Solutions; D006493:Heparin