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Response to: Should paediatric central lines be aspirated before use?
  1. Jonathan H C Evans
  1. Nottingham University Hospitals NHS Trust, Nottingham, UK
    ; jonathan.evans@nuh.nhs.uk

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Drs Coulthard and Skinner are correct to highlight the potential dangers of clot embolisation from paediatric central lines.1 There is, however, an equally strong argument for aspirating the lines to remove heparin and prevent inadvertent systemic anticoagulation.2 3

Haemodialysis lines in particular have relatively …

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