Status:
COMPLETED
Application of Large Volume Acute Normovolemic Hemodilution in Cardiac Surgery
Lead Sponsor:
Second Affiliated Hospital, School of Medicine, Zhejiang University
Conditions:
Cardiac Surgery
Acute Normovolemic Hemodilution
Eligibility:
All Genders
18-75 years
Phase:
NA
Brief Summary
The application of acute Normovolemic Hemodilution in cardiac surgery can effectively reduce perioperative blood transfusion, reduce postoperative complications and mortality, and is a low-cost, opera...
Eligibility Criteria
Inclusion
- (1)18-75years old;(2)elective cardiac surgery under cardiopulmonary bypass; (3)Preoperative hemoglobin (Hb) ≥ 12g/dl; (4) Transfusion Risk Understanding Scoring Tool (TRUST) ≥ 2 (possibility of blood transfusion ≥40%).
Exclusion
- (1)congenital heart disease、Cardiac tumor、aortic dissection、heart transplantation(2)Low body weight(\<50 kg);(3)preoperative shock;(4)myocardial infarction within 3 months before surgery;(5)ischemic heart disease;Left main coronary artery stenosis \>70%;Severe aortic stenosis (area \< 0.7cm2);Severe changes in left ventricular function (ejection fraction \<30%, requiring vasoactive agents to assist circulation);(6)severe carotid artery stenosis (\>70% or with symptoms);(7) kidney failure (blood creatinine level \>442 mmol/L) or dialysis treatment;(8) serum albumin level (ALB) is less than 25 g/L.(9) international standardized ratio (INR) \>1.5 or platelet count \<100 103/mm3;(10)Inherited/acquired coagulation function defect;(11)contagious or infectious diseases;(12) patient or family members refused to participate in research;(13)refused to infusion of autologous blood or allogeneic blood products
Key Trial Info
Start Date :
May 1 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 30 2021
Estimated Enrollment :
110 Patients enrolled
Trial Details
Trial ID
NCT04369443
Start Date
May 1 2020
End Date
January 30 2021
Last Update
February 8 2023
Active Locations (1)
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1
The Second Affiliated Hospital of Zhejiang University anesthesiology department
Hangzhou, Zhejiang, China, 310000