AAA & Heparin

Started by Anastezja
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Anastezja

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How will you give heparin 5000 during AAA? IV bolus directly to CVP with a flush or to the IV line connected to CVP and running LR ?

How much time will you give to circulate before is safe for surgeon to place clamp?
 
I didn't read the whole thing but isn't this study dealing with much larger doses (200u per kg)?

I typically give it via central line and wait 3 min. Is this wrong?

Same at my hospital. 3 minutes after giving the heparin, draw an ACT. ACT around 300 --> good to go.

Same thing for the cardiac cases, except obviously doses and desired values are different.

I've never had a problem so far (crossing my fingers as I type) with this method.