Open Fracture of Foot, Tumor
Conditions
Brief summary
The evaluation of Perfusion of free flaps in patients with moderate anaemia and possible reduction of the transfusion threshold. * Trial with surgical intervention
Detailed description
In study group 1 patients will be kept at a hematocrit level below 28% and only receive transfusions if symptomatic or the fall below 25%. Patients in group 2 will receive transfusions to reach a hematocrit always above 30%. Tissue perfusion in free flaps will be measured with indocyanine green fluorescence angiography, confocal microscopy and oxygen partial pressure measurement probes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* planned defect reconstruction with free flap and preoperative hematocrit of 28% or below
Exclusion criteria
* coagulation disorder * Jehovah's witness * iodine allergy * renal or hepatic insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Blood transfusions peri- and postoperative | 10 days |
Countries
Switzerland