Template:Central line with coagulopathy: Difference between revisions

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*If coagulopathic, use a compressible site such as the femoral location (avoid the IJ and Subclavian if possible)
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*No benefit FFP unless you lacerate an artery<ref>Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5</ref>
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**However, consider giving FFP if patient has [[Hemophilia|hemophilia]]<ref>Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556</ref>
 
===[[Special:MyLanguage/Procedures in patients with coagulopathies|Central line if coagulopathic]]=== <!--T:1-->
 
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*Preferentially use a compressible site such as the [[Central line: femoral|femoral]] location (avoid the [[Central line: internal jugular|IJ]] and [[Central line: subclavian|subclavian]] if possible, though IJ preferred over subclavian)
*No benefit to giving [[Special:MyLanguage/FFP|FFP]] unless artery is punctured<ref>Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5</ref>
**However, consider giving [[Special:MyLanguage/FFP|FFP]] if patient has [[Special:MyLanguage/Hemophilia|hemophilia]]<ref>Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556</ref>
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Latest revision as of 16:48, 27 January 2026

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Central line if coagulopathic

  • Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible, though IJ preferred over subclavian)
  • No benefit to giving FFP unless artery is punctured[1]
  1. ↑ Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5
  2. ↑ Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556
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