Heparinized vs Nonheparinzed saline in arterial lines

Specialties MICU

Published

What are you using in your transudced arterial lines, a Heparized solultion, if so what is your concentration OR nonheparinized saline?

we use nonheparinized saline for our art lines

Specializes in ICU.

No heparin for us!

Specializes in STICU, CVICU, Flight.

Just saline here, also.

Specializes in CVICU, PACU, OR.

normal saline

Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.

Ours come up from surgery with heparinized saline, but when that bag runs out, we change over to normal.

Specializes in CRITICAL CARE.

Nonheparinised, now heperinised saline is stale to use as a continous flush for arterial and other transducer lines. New studies show it is contraindicated and raising the chance of bleeding in those who already have abnormal coagulation as we use heparinised as our old practice. so for now only non-hep.

Mahirn

Specializes in MICU, SICU, CICU.

Normal Saline

Ours come up from surgery with heparinized saline, but when that bag runs out, we change over to normal.

:yeahthat:

Our hospital is considering switching from Heparinized flushes....to Normal Saline. I have only been able to find replacement of heparin with saline for peripheral line flushes only. Please let me know if Saline flushes for ALL lines is becoming more common practice or not worth exploring.

Thanks.

Specializes in ICU.

We always flush our unused lines with saline every four hours, whether peripheral or central. That becomes routine with assessments. I understand med-surg floor atill used heparin, but they flush the lines less frequently.

Specializes in ICU, Med/Surg, Ortho.

I advocate for switching to saline everywhere. It's personal with me. In January of last year, I developed HIT (heparin induced thrombocyotepenia).

Because of the HIT, I STILL have a DVT that extends from mid-left subclavian backward and up the jugular and downward half-way down my axillary vein on the left.

Also, I developed 3 subdural bleeds because of the thrombocytopenia and anticoagulation.

All in all a heck of a lot to go through - just because I had a reaction to heparin flushes.

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