Is there a standard for how soon a clotted line should be declotted? It makes sense to me that the longer that it is clotted would increase the risk of infection.
The longer it has been clotted, the chances of being successful with opening this occluded line go dramatically down. As clots age, they become more difficult to lyse. So the sooner the better. Lynn
Cathflo's information for functional restoration rates by duration of occlusion (COOL-2 study) states the following for timing and succesful intervention:
Instillation of cathflo for
< 24 hours 91% restored function
1-14 days 83% "
>14 days 78% "
Unknown 52% "
This is the data presented from consultant speakers for Cathflo. Bottom line is the "unknown" time frame; to always try as there is still a margin for successful restoration of function. We also intervene as soon as possible to optimize outcomes.
The longer it has been clotted, the chances of being successful with opening this occluded line go dramatically down. As clots age, they become more difficult to lyse. So the sooner the better. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
We consider a clotted line an emergent procedure and must be dealt with immediately.
Wendy Erickson RN
Eau Claire WI
Cathflo's information for functional restoration rates by duration of occlusion (COOL-2 study) states the following for timing and succesful intervention:
Instillation of cathflo for
< 24 hours 91% restored function
1-14 days 83% "
>14 days 78% "
Unknown 52% "
This is the data presented from consultant speakers for Cathflo. Bottom line is the "unknown" time frame; to always try as there is still a margin for successful restoration of function. We also intervene as soon as possible to optimize outcomes.
Linda Tirabassi RN pediatrics
Linda Tirabassi PhD RN CNS CPNP