Volume 18 Supplement 1

34th International Symposium on Intensive Care and Emergency Medicine

Open Access

Heparin stability in parenteral nutrition bags prepared in a neonatal ICU

  • A Foinard1,
  • M Perez1,
  • B Décaudin2,
  • C Barthélémy1,
  • A Tournoys3,
  • L Storme4 and
  • P Odou2
Critical Care201418(Suppl 1):P96

https://doi.org/10.1186/cc13286

Published: 17 March 2014

Introduction

Heparin is commonly given in our neonatal ICU (NICU) by continuous intravenous infusion. Heparin is diluted in parenteral nutrition bags and administered over a period of 24 hours with in-line filtration. However, there are no data on heparin stability in parenteral nutrition bags, especially on its compatibility with 50% dextrose mainly present in bags. The aim of our in vitro study was to determine heparin stability in parenteral nutrition bags prepared in a NICU after 24-hour infusion and to assess its interaction or not with 50% dextrose.

Methods

We prepared both types of bag: parenteral nutrition bags whose composition was defined in the unit, including sodium heparin (77 UI/ml); and bags containing only sodium heparin diluted in 50% dextrose (193 UI/ml). These bags (n = 6 per type) were infused over a period of 24 hours with and without in-line filtration. Heparin activity was measured using a chromogenic anti-Xa method in bags just being prepared (references for other measures) and after 24-hour infusion and in effluents at the end of infusion line after 24 hours.

Results

Our results show values of heparin activity measured in bags and effluents with and without in-line filtration after 24-hour infusion for both types of bag assessed (Tables 1 and 2). Results are expressed as median values (minimum to maximum) in percent.
Table 1

Results of heparin activity in parenteral nutrition bags

 

Bags at T0

Bags at T0 + 24 hours

Effluent at T0 + 24 hours

With filtration

100 (84.09 to 109.09)

95.45 (79.55 to 102.27)

97.73 (75.00 to 104.55)

Without filtration

100 (90.48 to 114.29)

97.62 (83.33 to 107.14)

97.62 (83.33 to 114.29)

Table 2

Results of heparin activity in bags with sodium heparin in 50% dextrose

 

Bags at T0

Bags at T0 + 24 hours

Effluent at T0 + 24 hours

With filtration

100 (77.45 to 108.82)

95.10 (90.20 to 109.80)

98.04 (95.10 to 100.98)

Without filtration

100 (85.44 to 107.77)

92.23 (88.35 to 100.00)

94.17 (86.41 to 108.74)

Conclusion

We conclude that there is no loss of heparin activity when drug is infused over 24 hours for both types of bag prepared, with and without in-line filtration, showing heparin activity remains stable during this period and there is no interaction of drug with other nutrient components of bags, especially 50% dextrose.

Authors’ Affiliations

(1)
Faculté de Pharmacie
(2)
Institut de Pharmacie, CHRU
(3)
Fédération de Biologie Pathologie du CHRU
(4)
Hôpital Jeanne de Flandre,CHRU

Copyright

© Foinard et al.; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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