Template:Central line with coagulopathy: Difference between revisions
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===[[Procedures in patients with coagulopathies|Central line if coagulopathic]]=== | ===[[Procedures in patients with coagulopathies|Central line if coagulopathic]]=== | ||
*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) | *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 [[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> | *No benefit to giving [[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 [[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> | ||
Latest revision as of 06:18, 6 January 2022
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]
- However, consider giving FFP if patient has hemophilia[2]