blood loss transfusion requirements
Conditions
Interventions
Postoperative Pericardial Flush (PPF) system
The PPF system is aimed to extract the contaminated pericardial blood, dilute
thrombi, decrease postoperative blood loss, and prevent the formation of
po
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - All adult patients (>18y) undergoing surgery for CABG.
Exclusion criteria
Exclusion criteria: - Previous CABG; - Emergency surgery; - Preoperative use of Dabigatran, Rivaroxaban, Apixaban, Clopidogrel, Brilique or Prasugrel; - Participation in any study involving an investigational drug or device; - Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine whether postoperative pericardial flush with a crystalloid can reduce postoperative blood loss by effectively removing contaminated pericardial blood after CABG. The primary study endpoints include: blood loss 12h postoperative and delta haemoglobin (between sternal closure and 12h postoperative). | — |
Secondary
| Measure | Time frame |
|---|---|
| All secondary study parameters are derived from standard patient monitoring data; therefore no extra provisions are needed. ICU - GENERAL: aBP, dBP, patient rectal/core temperature (°C), mechanical ventilation duration (hours), bairhugger use (hours), removal of chest tubes (hours postoperative), ICU stay (days). - TRANSFUSION: pumpblood (mL), RBC, platelets (units), plasma (units), fibrinogen (mg), cofact (IE) , novo7 (ml); - LAB: CRP, leukocytes, pH, platelets, INR, haemoglobin (T24), haemotocrit, CKMB; - ECG: AF, VT/VF, SVT, AV-Blok, >QRS, MI; - MEDICATION: AF conversion medication, AF conversion success, antibiotics; - COMPLICATIONS: early ( | — |
Countries
Netherlands
Outcome results
None listed