Cardiac surgery patients have a risk to need allogeneic blood transfusions that depends on several risk factors, e.g. the type of surgery, concomitant medication with anticoagulants, and postoperative chest tube output. Allogeneic blood transfusion is associated with transfusion reactions, infection transmission, and postoperative morbidity and mortality. The aim of this study is to investigate, whether cardiac surgery patients have a reduced postoperative chest tube output and transfusion need when using a point-of-care guided transfusion algorithm compared to standard of care transfusion protocols.
Cardiac surgery patients have a risk to need allogeneic blood transfusions that depends on several risk factors, e.g. the type of surgery, concomitant medication with anticoagulants, and postoperative chest tube output. Allogeneic blood transfusion is associated with transfusion reactions, infection transmission, and postoperative morbidity and mortality. The aim of this study is to investigate, whether cardiac surgery patients have a reduced postoperative chest tube output and transfusion need when using a point-of-care guided transfusion algorithm compared to standard of care transfusion protocols .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
(thromboelastometry, aggregometry, blood gas analysis)
aPTT, ACT, platelet count, hemoglobin, fibrinogen
Department of Anesthesiology CCM/CVK Charité Universitätsmedizin Berlin
Berlin, State of Berlin, Germany
chest tube output
Time frame: 24 hours
need of allogeneic blood transfusions
Time frame: 24 hours
course of conventional coagulation parameters (aPTT, TPZ, fibrinogen, FXIII, ACT)
Time frame: 24 hours
duration of mechanical ventilation
Time frame: hours (average)
incidence of RRT
or until hospital discharge, whatever is earlier
Time frame: during 30 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.