Intensive Care Medicine

, Volume 28, Issue 8, pp 1172–1176

Keeping central venous lines open: a prospective comparison of heparin, vitamin C and sodium chloride sealing solutions in medical patients

  • Christian Rabe
  • Tobias Gramann
  • Ximena Sons
  • Marc Berna
  • María González-Carmona
  • Hans-Ulrich Klehr
  • Tilman Sauerbruch
  • Wolfgang H. Caselmann
Brief Report

DOI: 10.1007/s00134-002-1379-2

Cite this article as:
Rabe, C., Gramann, T., Sons, X. et al. Intensive Care Med (2002) 28: 1172. doi:10.1007/s00134-002-1379-2

Abstract

Objective. To prevent catheter occlusion, intermittently used central venous catheters are frequently sealed with vitamin C solution or heparin solution between use. The present study was designed to test the effectiveness of this approach and to compare the efficiency of sealing solutions.

Design and setting. Prospective randomized study performed on a 9-bed medical ICU and on medical wards of an academic tertiary care center.

Participants. Ninety-nine central venous line placements were prospectively included in the study and randomized into three treatment groups: sodium chloride 0.9%, vitamin C (200 mg/ml) and heparin (5000 IU/ml) sealing solutions.

Interventions and measurements. Catheters were filled with the respective sealing solution and patency was tested once every 2 days using a standardized routine. Catheter patency was compared among the three groups using Kaplan-Meier statistics and log-rank testing.

Results. There was a significant difference in catheter patency between the three groups (p<0.03, log-rank test). A comparison of catheter survival between the catheters filled with heparin and those filled with sodium chloride, but not between those filled with vitamin C solution and with sodium chloride solution, exhibited significant differences in catheter patency (p<0.04, log-rank test).

Conclusions. Local anticoagulation of intermittently used central venous catheters prolongs catheter patency. High-dose (5000 IU/ml) heparin solution is a useful anticoagulant for this purpose, while vitamin C solution does not prolong catheter patency.

Intensive care unit Central venous catheter Complications

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Christian Rabe
    • 1
  • Tobias Gramann
    • 1
  • Ximena Sons
    • 1
  • Marc Berna
    • 1
  • María González-Carmona
    • 1
  • Hans-Ulrich Klehr
    • 1
  • Tilman Sauerbruch
    • 1
  • Wolfgang H. Caselmann
    • 1
  1. 1.Department of Medicine I, University of Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, GermanyGermany