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If you wish to respond to a paper or other item already published in the BJA, please go to the abstract/full text version of that item and click on the link "E-Letters: Submit a response to the article".

Electronic Letters to:

Clinical Practice:
G. Pang and A. Donaldson
Probable right atrial thrombus immediately after recombinant activated factor VII administration
Br. J. Anaesth. 2007; 99: 221-225 [Abstract] [Full text] [PDF]
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Electronic letters published:

[Read E-letter] Mode of administration of factor VII - relation to thrombosis ?
Ivan Hronek MD   (5 October 2007)

Mode of administration of factor VII - relation to thrombosis ? 5 October 2007
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Ivan Hronek MD,
Chief, CC & Trauma Anesthesia
SFMC, Los Angeles

Send letter to journal:
Re: Mode of administration of factor VII - relation to thrombosis ?

A most interesting observation that has been repeated recently elsewhere (University of Maryland - verbal communication). A high local concentration of factor VII after administration through the right jugular venous catheter may indeed be the culprit and a gradual infusion of diluted factor VII may be preferable.

Conflict of Interest:

None declared