Cardiac Disease
Conditions
Keywords
Whole Blood Coagulation Time, cardiac surgery
Brief summary
This study aimed to compare 2 activated clotting time analysers (Hemochron Jr vs. ACT Plus).
Detailed description
Measurement of activated clotting time (ACT) is a standard method for anticoagulation monitoring. Especially in cardiac surgery, heparin is usually used as anticoagulant and protamine is used to reverse anticoagulation effect at the end of surgery. ACT method defines the time until a clot is formed in a test tube after triggering of internal pathway coagulation using blood activating agents (eg. kaolin). Acute normovolemic hemodilution (ANH) consists of withdrawing patient's blood volume early in the operative period and concurrent infusion of crystalloid or colloid to maintain intravascular volume, and is used in cardiac surgery. ANH is known to affect hemostasis in some studies. Assuming that accurate monitoring of coagulation therapy is important to prevent both thrombotic and hemorrhagic complications, we compared ACT results from 2 analysers (Hemochron Jr and ACT Plus) in patients undergoing cardiac surgery using ANH.
Interventions
Activated coagulation time was checked serially by Hemochron Jr.
Activated coagulation time was checked serially by ACT Plus.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who underwent cardiac surgery with heparin administration.
Exclusion criteria
* Preoperative hemoglobin under 11g/dL * Weight under 40kg * Preoperative coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of activated coagulation time between Hemochron Jr and ACT Plus | During cardiac surgeris (within 8 hours) |
Countries
South Korea