Template:Central line with coagulopathy: Difference between revisions
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===[[Procedures in patients with coagulopathies|Coagulopathy]]=== | ===[[Procedures in patients with coagulopathies|Coagulopathy]]=== | ||
*If coagulopathic, use a compressible site such as the femoral location (avoid the IJ and | *If [[Coagulopathy (Main)|coagulopathic]], 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) | ||
*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> | *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> | ||
**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> | **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> | ||
Revision as of 19:59, 11 January 2015
Coagulopathy
- If coagulopathic, use a compressible site such as the femoral location (avoid the IJ and subclavian if possible)
- No benefit FFP unless you lacerate an artery[1]
- However, consider giving FFP if patient has hemophilia[2]