Pharmacological anticoagulation is not required in patients: With impaired coagulation (e.g. liver failure or dilution coagulopathy) On systemic anticoagulation Impaired anticoagulation is suggested by any one of the following: INR >2-2.5 APTT > 60 seconds...
If No Increased Risk of Bleeding Regional citrate rather than heparin as first line unless contraindicatedIf citrate contraindicated or as a second line alternative either unfractionated or low molecular weight heparin If Increased Risk of Bleeding Regional citrate...