This is a controversial issue. There are small studies in
oncology patients that support its use and some that do not. There was
a series of practice guidelines related to anticoagulants and
thrombolytics published in Chest 2004 and they recommended against its
use. My opinion of that piece was that they did not have a good
understanding of the true clinical impact of catheter-related
thrombosis. But that is the most recent thing I can recommend.
Lynn
At 8:24 AM -0700 9/13/06, Marilyn Patterson wrote:
This question from an internal medicine doc. Has this recommendation changed? Does any one have any references I can forward to this MD?
Thanks as always so much for all your valued input and expertise.
Marilyn Patterson RN CRN, CRNI
Port Angeles, WA
From: Mark Fischer
Sent: Tuesday, September 12, 2006 3:41 PM
To: Marilyn Patterson; Tami Spaeder
Subject: Portacath warfarin prophylaxis
Hi Marilyn or Tami
Historically, pt's have taken warfarin 1mg/day for this..
Recently, I think I've heard this is no longer recommended, right ?
Do you have a reference to support this ?
Thanks mark
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
