ICU-patients with sub-clinical lengthening of coagulation tests (PTT 14.7 – 20 seconds, platelets < 100 x 109/L) or the use of Ascal® planned for percutaneous tracheotomy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Sub-clinical lengthening of coagulation; 2. Tests and or low platelets; 3. Use of Ascal; 4. Planned PDT; 5. Age > 18 years; 6. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Contraindication for PDT (i.e., surgical tracheotomy is preferred); 2. Contra-indications for transfusion of blood products; 3. Contra-indication for correction of coagulation disorders; 4. PTT > 20 seconds; 5. Use of clopidogrel.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The volume of blood loss during PDT. The intensity of intra-tracheal bleeding. Time until no blood is visible in tracheal aspirates. | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of bloodproducts used during and after tracheotomy. | — |
Contacts
Academic Medical Center, Departement of Intensive Care, Meibergdreef 5,