Cardiac surgery with cardiopulmonary bypass. Postoperative bleeding and requirements of blood products MedDRA version: 9.1 Level: LLT Classification code 10066123 Term: Cardiopulmonary bypass MedDRA version: 9.1 Level: LLT Classification code 10036277 Term: Postoperative bleeding MedDRA version: 9.1 Level: LLT Classification code 10005765 Term: Blood product transfusion
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Programmed cardiac surgery, age over 18 years, patients given full informed consent, stay at ICU at least 48 h. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Thoracic aortic surgery - Severe hepatic failure (Child grades B-C) - Severe renal failure (basal serum creatinine >2 mg/dL, glomerular filtration rate <30 mL/min/m2) - Coagulopathy or platetlet count <150.000/mm3 - Antiagregant platelet treatment in the 72 h before surgery - Treatment with low molecular weight heparin in the 12 h before surgery or unfracttionated heparin in the 4 h before surgery - Preoperative anemia (hemoglobin below 12 g/dL in women and 13 g/dL in men) - Use of inotropes or intraaortic contrapulsation in preoperative period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine de effect of a priming solution in cardiopulmonary bypass pump containing albumin, Ringer lactate and mannitol vs Ringer lactate (control) on postoperative bleeding and blood product requirements ;Secondary Objective: To examine the effect of this priming on: - Fluid balance - Coagulation and hematology parameters - Reexploration because bleeding - Stay on ICU and hospital;Primary end point(s): - Blood volume drainage in the first 24 h - Rate of patients who required any blood product in the first 48 h - Number of units of packed reed blood cells, plasma or platelets administered in the first 48 h | — |
Countries
Spain