SUBJECT CONSULTANT REVIEW

Title of the article
Pharmacodynamics of unfractionated heparin during and after a hemodialysis session.
Authors
Brunet P, Simon N, Opris A, Faure V, Lorec-Penet AM, Portugal H, Dussol B, Berland Y.
Journal
Am J Kidney Dis. 2008 May;51(5):789-95.
Subject Consultant
C. Basile
Score (1 to 3 stars)
**
Comments
Anti-Xa activity is used as a clinical guide to anticoagulation with heparin, but heparin dosing regimens for hemodialysis were established before anti-Xa assays were developed; thus, the optimal regimen for heparin dosing was not determined. Unfractionated heparin administered by means of a 3-hour continuous infusion for hemodialysis anticoagulation provided an efficient and safe effect that quickly disappeared after the end of the session.