Maintenance of arterial catheters with heparin: should we continue?
2011

Comparing Heparin and Saline for Arterial Catheter Maintenance

Sample size: 49 publication Evidence: moderate

Author Information

Author(s): Catorze N, Teixeira S, Cabrita J, Carreto J, Vieira V, Gonçalves S, Frade A, Martins J

Primary Institution: Centro Hospitalar Médio Tejo, Abrantes, Portugal

Hypothesis

Is heparin more effective than saline for maintaining arterial catheters?

Conclusion

Heparinized solutions do not provide significant benefits over saline for arterial catheter maintenance.

Supporting Evidence

  • Two hundred days of arterial catheters were observed in 49 patients.
  • The median duration of catheters was 4.4 days for saline and 3.8 days for heparin.
  • Two local inflammatory signs were recorded in the heparinized group.
  • One local hemorrhage and one obstruction occurred in the heparinized group.

Takeaway

This study found that using heparin to keep IV lines open isn't better than using saltwater.

Methodology

A double-blind randomized trial comparing heparinized and saline solutions over 80 days.

Limitations

The study excluded patients with certain conditions, which may limit generalizability.

Participant Demographics

ICU patients with arterial catheters.

Digital Object Identifier (DOI)

10.1186/cc9498

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