I need some good articles to show our surgeons that we need to keep both lumens of central lines patent in order to prevent any infections.Â One of our surgeons have been refusing to order tPA when one of the lumens gets clotted as long as other lumen is patent. He believes that the clot is contained to oneÂ lumenÂ as these ports of doulbe lumenÂ central lines are all staggered. I would like to argue that it still predisposes to possible infection.
Toshi Holland NP, Vascular Access Program Coordinator
Children's Hospital & Research Center Oakland