title: [Heparin lock--preventing clots but causing bleeding?].
abstract: Renal replacement therapies are often conducted by using a dialysis catheter. The catheter may easily become blocked, if no anticoagulant drug is placed into it. Heparin is the most common drug used for this purpose. Even a drug which has been correctly placed into the catheter may, however, end up into the circulation and cause bleeding problems to the patient. We describe a patient case of this type. Alternatives to heparin are available, the use of which is associated with a smaller risk of bleeding. Furthermore, they can also protect the patient from catheter infections.
authors.affiliation: OYS, anestesia ja tehohoito.
authors.forename: Timo
authors.initials: T
authors.lastname: Kaakinen
authors.forename: Jouko
authors.initials: J
authors.lastname: Laurila
authors.forename: Tero
authors.initials: T
authors.lastname: Ala-Kokko
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage* / Q000009:adverse effects*; D055499:Catheter-Related Infections / Q000517:prevention & control*; D006470:Hemorrhage / Q000139:chemically induced*; D006493:Heparin / Q000008:administration & dosage* / Q000009:adverse effects*; D006801:Humans; D017582:Renal Replacement Therapy / Q000295:instrumentation*
chemical_list: D000925:Anticoagulants; D006493:Heparin