Does anyone have any information about using sodium citrate for anticoagulation. We have a patient that is allergic to heparin. Without anticoagulation he is clotting dialyzers and systems. Any information will be greatly appreciated.

This is strictly a matter for the nephrologist or attending physician

quote:

Originally posted by WV Tech:
Does anyone have any information about using sodium citrate for anticoagulation. We have a patient that is allergic to heparin. Without anticoagulation he is clotting dialyzers and systems. Any information will be greatly appreciated.

There are several good papers on citrate use. Some users such as Jon Niles, MD, Mass. General, Boston, Dr Metha, UCSD, San Diego, and Ed Ross, Univ. Florida, Ganiesville, FL, would be a good start.
Hope this helps.

There is a new product coming out on the market that I just heard about yesterday. Citrate dialysate (Citrisate). This just replaces the acid concentrate. More expensive (about $6.75 per tx), but if you are losing dialyzers and tubing will be more cost effective. You can contact Advanced Renal Technologies (ART) at 425-825-1276 or e-mail tlvannoy@hotmail.com. Mr. Van Noy did a very nice presentation for me - sounds like this could work for you. Hope this helps.
Ruth

We did some of the trials on their dry formula (Dryalysate) and saw abosultely no improvement in clotting in patients receiving heparin though data that was shared with us from ART did show a decrease in clotting in patients (from another facility) that did not receive any heparin.

[This message has been edited by Chuck W (edited 07-10-2002).]