Intra-operative Monitoring of Blood Loss
NCT01864980 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2015-05-27
Summary
Certain types of surgery are associated with occult blood loss, which is hard to detect intraoperatively by intermittent conventional, invasive Hb concentration measurements using the clinical standard of Hb monitoring by satellite laboratory analysis (Hbsatlab). The investigators want to see whether continuous non-invasive transcutaneous Hb measurement using a finger sensor (SpHb), (a) reduces the total time (area under the curve, AUC) a patient's Hb is below a predetermined transfusion threshold (HbAUC) for administration of red blood cell concentrate (RBC), and (b) prevents a decrease in total oxygen delivery (DO2) possibly associated with transfusion below a critical haemoglobin concentration. Furthermore, the investigators want to study if SpHb monitoring changes the timing of RBC administration and reduces the need for intra- and post-operative RBC transfusion.
Conditions
- Undetected Intraoperative Blood Loss
Interventions
- PROCEDURE
-
blood transfusion, intermittent Hbsatlab measurement
In the Hbsatlab group, RBC administration and its timing will be based on intermittent Hbsatlab measurement (routine care)
- PROCEDURE
-
blood transfusion, based on continuous SpHb readings
RBC administration and its timing will be based on continuous SpHb readings while Hbsatlab values, measured every 30 min. by an objective observer, will not be visible to the attending anaesthetist.
Sponsors & Collaborators
-
University Medical Center Groningen
lead OTHER
Principal Investigators
-
Michel M.R.F. Struys, Prof.dr · University of groningen,University Medical Center Groningen
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-06-30
- Primary Completion
- 2014-05-31
- Completion
- 2014-05-31
Countries
- Netherlands
Study Locations
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