Blood Recovery
Conditions
Keywords
Open Heart Surgery, Heart Transplant, Lung Transplant, ProCell
Brief summary
The purpose of this research study is to compare two methods of recovering blood from surgical sponges used during heart and lung surgeries. The two methods are: 1) manually wringing sponges by hand, and 2) automated wringing sponges by an FDA approved suction device. Both methods are already in use in heart and lung surgeries at University Hospitals at the discretion of the surgeon.
Interventions
Hand wrung refers to manually wringing surgical sponges by hand.
ProCell wrung refers to automated wringing surgical sponges by an FDA approved suction device (ProCell).
Sponsors
Study design
Masking description
Subjects will be blinded to the order of intervention.
Eligibility
Inclusion criteria
* Undergoing heart or lung transplant, redo sternotomy, aortic surgery, and/or multi-valve repairs/replacements; and * At University Hospitals Cleveland Medical Center.
Exclusion criteria
* Patients with known bleeding disorders, including disseminated intravascular coagulation (DIC), prothrombin deficiency, factor V deficiency, factor VII deficiency, factor X deficiency, factor XI deficiency (hemophilia C), Glanzmann disease, hemophilia A, hemophilia B, idiopathic thrombocytopenic purpura (ITP), and Von Willebrand disease (types I, II, and III); * Patients undergoing emergent or emergent salvage surgery; and * Patients actively participating in another clinical trial which could affect outcomes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of Plasma Free Hemoglobin | Baseline | Level of plasma free hemoglobin will be measured at baseline. |
| Change in Volume of Blood | Baseline, Post-Processing (Up to 120 Minutes) | Volume of blood will be measured at baseline and post-processing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of Haptoglobin | Baseline | Level of haptoglobin will be measured at baseline. |
| Number of Fragmented Red Blood Cells | Baseline | Number of fragmented red blood cells will be measured at baseline. |
| Time to Wring Sponges | Up to 120 Minutes | Time to wring sponges will be measured. |
| Change in Weight of Surgical Sponge | Baseline, Post-Procedure (Up to 5 Minutes) | Weight of surgical sponges will be measured at baseline and post-procedure. |
| Level of Lactate Dehydrogenase | Baseline | Level of lactate dehydrogenase will be measured at baseline. |
Countries
United States