We are currently in the process for changing our intradialytic anti-coagulation from UFH to tinzaparin. I wanted to see how many other centres have switched over and what their experience has been?
Are other centres administering through the arterial or venous ports? I can only find one resource that says that tinz can be dialyzed out with high flux dialyzers but we are considering trying through the venous port on the theory that tinz could be dialyzed out if administered arterial so perhaps we can get away with a lower dose for effective anti-coagulation. One of our physicians mentioned a paper from Australia (that he can’t find now…) and I can’t find any evidence to support this…
Are other centres using a weight based dose banding approach, a standard starting dose or a UFH conversion?
Look forward to hearing from everyone!
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