Elective cardiac surgery under cardiopulmonary bypass using ROTEM guided algorithm-based blood management in Ramathibodi hospital Cardiopulmonary bypass, rotem
Conditions
Interventions
1. Anesthetic induction and maintenance will depend on anesthesiologist without drugs use limitation. All patient will receive tranexamic acid (TXA) 10 mg/kg after induction, maintenance 1-2 mg/kg/hou
Rotem guide blood management,Conventional blood management
Sponsors
Faculty of medicine ramathibodi, Mahidol university, Thailand
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Elective cardiac surgery under cardiopulmonary bypass
Exclusion criteria
Exclusion criteria: 1. Use antiplatelet medication (ASA stop < 7 days, clopidogrel stop < 5 days) 2. End stage renal failure without regular hemodialysis or blood urea nitrogen > 60
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cost-effectiveness of the ROTEM-guided algorithm. 48 hours Cost effective | — |
Secondary
| Measure | Time frame |
|---|---|
| Post operative bleeding 48 hours Milliliters ,Blood component use 24 hours Milliliters ,PF ratio At ICU Ratio,Reoperative rate due to bleeding 48 hours Rate,Thrombolic event 48 hours Event,Incidents of acute kidney injury 48 hours Incident ,Ventilator use 48 hours Days | — |
Countries
Thailand
Contacts
Public ContactSujinna Tharananithikul
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed