Hemodialysis - Anticoagulation (HD) with Bleeding Risk

Guideline Organization

Recommendation (Evidence Level)

Evidence

Comments

CARI-Australia

CSN-Canada

EBPG-Europe
2002

• Systemic anticoagulation should be avoided. Preferred alternatives are no anticoagulation with regular flushing of the circuit or regional citrate anticoagulation (Level A)
• Regional anticoagulation with heparin and protamin neutralization should be avoided because of risk of bleeding after dialysis (Level A)

V.3 Prevention of clotting in the HD patient with elevated bleeding risk

KDOQI-US

UK-Guidelines