Cardiac Disease
Conditions
Keywords
Cardiac Surgery
Brief summary
The purpose of this research is to understand if the medication called FEIBA helps to stop bleeding and decrease transfusion of blood products to small children operated on the heart.
Interventions
Administered via the central line catheter after termination of cardiopulmonary bypass if bleeding related to poor clotting develops; in addition, according to conventional protocol blood products will be transfused simultaneously. Three small doses, 5 mg/kg each, will be available.
Contains no active ingredient and administered via the central line catheter after termination of cardiopulmonary bypass if bleeding related to poor clotting develops; in addition, according to conventional protocol blood products will be transfused simultaneously.
Sponsors
Study design
Eligibility
Inclusion criteria
* Weight ≤ 15 kg. * Elective cardiac surgery with cardiopulmonary bypass. * Coagulopathic bleeding after cardiopulmonary bypass. * Availability and willingness of the parent/legal guardian to provide informed consent.
Exclusion criteria
* Presence of mechanical circulatory support at the time of randomization or POD 0 and 1. * Patient or family history of coagulopathy and/or thromboses. * Preoperative anticoagulation (excluding low dose heparin for line prophylaxis).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of units of allogeneic blood products required early perioperatively in pediatric cardiac patients. | approximately 1 day postoperatively | Number of units of transfused allogeneic blood products after cardiopulmonary bypass in the operating room (OR) and in the intensive care unit (ICU) on postoperative day (POD) 0 and 1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital length of stay | Through hospital discharge, approximately 3 days | Number of days admitted to the hospital |
| Mortality | Through hospital discharge, approximately 3 days | Total number of subject deaths |
| Intravascular and intracardiac thromboses | approximately 3 days postoperatively | Number of subjects to experience intravascular and/or intracardiac thromboses up to POD 3 |