Heparin infusion for ECMO/VAD
This document is only valid for the day on which it is accessed. Please read our disclaimer.
Heparin infusion in infants on ECMO
| ACT (sec) | Bolus (u/kg) | Stop Infusion (min) | % Rate Change |
| <120 120 - 140 140 - 160 160 - 180 180 - 200 200 - 220 >220 |
50 30 20 0 0 0 0 |
0 0 0 0 0 30 60 |
+15% +10% +10% 0 -10% -10% -10% |
Heparin Infusion in infants on VAD
| ACT (sec) | Bolus (u/kg) | Stop Infusion (min) | % Rate Change |
| <100 100 - 120 120 - 140 140 - 160 160 - 180 180 - 200 >200 |
50 30 20 0 0 0 0 |
0 0 0 0 0 30 60 |
+15% +10% +10% 0 -10% -10% -10% |
Heparin should never be reduced to less than 10u/kg/hr unless
ACT>200 for more than 4-6 hours and approved by
intensivist.
Platelet transfusions - give 10u/kg bolus and increase infusion rate by 10%. If on several occasions the ACT falls below goal during or immediately after platelets, consider giving 20u/kg and increasing infusion by 20%.
Did you find this information helpful?
Document Control
- Date last published: 31 October 2005
- Document type: Clinical Guideline
- Services responsible: Paediatric Intensive Care Unit
- Editor: John Beca
- Review frequency: 2 years
SIGN UP TO RECEIVE GUIDELINE UPDATES
Subscribe below if you want us to let you know about new or updated guidelines
