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. 2023 Nov 17;183(2):529–541. doi: 10.1007/s00431-023-05318-0

Table 4.

Most frequently anticoagulation methods used in pediatric CRRT and their advantages and disadvantages

Method Dosing (D) and monitoring (M) Advantage Disadvantage
Unfractionated heparin D: 10–20 IU/kg/h

• Easily reversible with protamine

• Low costs and widely available

• wide experience as anticoagulant

• Risk of patients bleeding

• Patients possibly developing heparin induced thrombocytopenia (HIT)

• Unpredictable and complex pharmacokinetics resulting in dosing variability

M: aPTT 45–60 s or 1.5–2 × NR; ACT 180–200 s
Low Molecular Weight Heparin D: Enoxaparin LD 0.15 mg/kg, MD 0.05 mg/kg/h

• Less risks for HIT

• Pharmacokinetics more predictable than unfractionated heparin

• Higher costs than unfractionated heparin

• Less effective reversal with protamine

M: Anti-Xa level (0.3–0.7 UI/mL)
Regional citrate anticoagulation D: starting dose 3 mmol/La

• Anticoagulation only of the extracorporeal circuit

• Lower risks of bleeding

• Longer filter life than heparin

• Need for training and strict protocols

• Higher risks of citrate complications (electrolytes imbalance, citrate accumulation/toxicity)

• Need for high dialytic dose (high volume of pre-filter fluid)

• May need caution in patients with severe liver failure and lactic acidosis

M: extracorporeal iCa 0.25–0.35 mmol/L; intracorporeal iCa 1.1–1.3 mmol/L
Regional heparin and protamine D: infuse 1 mg protamine post-filter for 100 IU Heparin

• Anticoagulation only of the extracorporeal circuit

• Lower risks of bleeding

• Complex metabolism may lead to prolonged anticoagulation

• Requires measurement of both circuit and patient APTT

• Technically challenging (difficulty in estimating the amount of protamine required to antagonize post-filter heparin)

• Possible side effects: hypotension, anaphylaxis, cardiac depression, leukopenia, and thrombocytopenia

M: circuit aPTT 45–60 s or 1.5–2 × NR; ACT 180–200
Prostacyclin infusion D: 2–8 ng/kg/min

• No need for anticoagulation parameter monitoring since inhibits platelets aggregation

• Easy to perform

• Possible hemodynamic impact, dose dependent (vasodilation, systemic hypotension, possible reflex tachycardia)

• Possible raised intracranial pressure

M: no monitoring tests
Serine protease inhibitors—nafamostat mesilate, aprotinin D: Depending on drug

• Lower costs than regional citrate anticoagulation

• Alternative to regional citrate anticoagulation if risk of citrate accumulation

• Only few studies available in pediatrics

• Need for clotting parameter monitoring

M: aPTT 45–60 s or 1.5–2 × NR; ACT 180–200 s
Direct thrombin inhibitors—argatroban, bivalirudin D: Depending on drug

• Lower bleeding risk than unfractionated heparin in other context (e.g., ECMO)

• Shorter half-life than heparin (bivalirudin the shortest)

• Possible use in patients with HIT

• Only few studies available in pediatrics, evidences from adults

• Non-reversible agents available

M: aPTT 45–60 s or 1.5–2 × NR; ACT 180–200 s

LD loading dose, MD maintenance dose, NR normal range 

aCitrate flow rate depends on the type of citrate solution used