Surgery: Acetabular reconstruction Surgery Other and specified injuries of hip and thigh
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 18?60 yr old 2. major pelvic?acetabular fracture caused by trauma 3. scheduled for semi-elective ?large? reconstruction surgery with the potential of blood loss exceeding 50% of circulating blood volume
Exclusion criteria
Exclusion criteria: 1. history of thrombosis (deep vein thrombosis, pulmonary embolism, cerebral thrombosis) 2. severe head injuries or an abnormal CT scan of the head due to head injuries 3. base deficit of greater than 15 mEq litre?1 or severe acidosis (pH<7.0.) before surgery 4. body weight exceeding 135 kg 5. known or suspected allergy to any drug that may be administered during the course of the study 6. cardiac arrest after trauma and before surgery at St George's Hospital 7. known congenital bleeding disorders 8. known pregnancy or positive pregnancy test at enrolment 9. previous participation in this study 10. previous receipt of rFVIIa within 48 h of screening 11. currently participating or having participated in another investigational drug study within the last 30 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total volume of perioperative blood loss | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. perioperative transfusion requirement (total volume of allogeneic blood components and salvaged RBC, total number of units of allogeneic blood components) 2. number of patients transfused with allogeneic blood components 3. total volume of crystalloid (Hartmann's solution, dextrose saline, normal saline) and colloid (succinylated gelatin) fluids infused 4. total operating time 5. time taken after entry to intensive care unit (ICU) or recovery unit to reach normal body temperature (36.3?37.1°C) and acid?base status (blood pH 7.35?7.45 with standard base excess ?2 to +2) 6. time spent in ICU after surgery 7. days of hospitalization 8. number of times a patient was returned to the operating theatre | — |
Countries
United Kingdom