Concurrent administration of heparin and activated protein C in a patient with pulmonary embolism and severe sepsis with positive outcome
Palepu B. Gopal, S. Mohan, Vivek V. Veturi
Activated protein C, heparin, pulmonary embolism, severe sepsis
Citation Information :
Gopal PB, Mohan S, Veturi VV. Concurrent administration of heparin and activated protein C in a patient with pulmonary embolism and severe sepsis with positive outcome. Indian J Crit Care Med 2009; 13 (3):163-166.
Results of the PROWESS trial suggested that heparin may reduce the efficacy of recombinant human activated protein C (rhAPC) and the XPRESS study also showed increased bleeding complications in patients receiving heparin with rhAPC. Although it has been shown that heparin prophylaxis may be used along with rhAPC, no study has shown the interaction between continuous heparin infusion and rhAPC. Here, we report a case of severe sepsis with pulmonary embolism who was concurrently administered heparin and rhAPC infusions, with positive results and no bleeding complications.
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