Study of DDAVP Combined With TXA on the Blood Loss and Transfusion Need During and After Scoliosis Correction Surgery
NCT02084342 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2014-03-11
Summary
Intraoperative administration of tranexamic acid (TXA,T) reduces significantly blood loss and blood transfusion requirements during spinal posterior fusion in adolescents with scoliosis. TXA acts mainly by inhibit the plasminogen activator.
Desmopressin (DDAVP ,D) can inhibit the fibrinolytic activity by inducing the release of von Willebrand factor from the endothelial cells. But at the same time, it releases tissue-type plasminogen activator (t-PA), which may cripple its hemostatic effect.
The investigators supposed that if the investigators combine TXA with DDAVP in scoliosis correction surgery, the blood loss and the transfusion need would be reduced significantly.
Conditions
- Idiopathic Scoliosis
Interventions
- DRUG
-
tranexamic acid and sodium chloride injection
10mg/kg, IV (in the vein) for 30min, before incision. then at 1mg/kg/h, IV pump, until the surgery is over.
- DRUG
-
normal saline
100ml, IV for 30min,before incision.
- DRUG
-
desmopressin acetate injection
0.3μg/kg dissolved in 100ml NS,IV for 30min,before incision.
Sponsors & Collaborators
-
Liu Weifeng
lead OTHER
Principal Investigators
-
Wenqi Huang, Ph.D, M.D. · First Affiliated Hospital, Sun Yat-Sen University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 8 Years
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-12-31
- Primary Completion
- 2014-04-30
- Completion
- 2014-06-30
More Related Trials
-
Tranexamic Acid Dosing in Adult Spinal Deformity Surgery
NCT02053363 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Tranexamic Acid in Reducing Gross Hemorrhage and Transfusions of Spine Surgeries
NCT03011866 ·Status: UNKNOWN ·Phase: NA
-
Tranexamic Acid in Adult Spinal Deformity Surgery
NCT03553186 ·Status: RECRUITING ·Phase: PHASE3
-
Efficacy and Safety of Tranexamic Acid in Spinal Fusion Surgery
NCT03425799 ·Status: TERMINATED ·Phase: PHASE3
-
Tranexamic Acid (TXA) Versus Epsilon Aminocaproic Acid (EACA) Versus Placebo for Spine Surgery
NCT00958581 ·Status: COMPLETED ·Phase: PHASE4
-
TXA in Spinal Fusion
NCT04272606 ·Status: COMPLETED ·Phase: PHASE2
-
Effectiveness Study of the Drug Tranexamic Acid to Reduce Post-surgery Blood Loss in Spinal Surgery
NCT02063035 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid in Pediatric Scoliosis Surgery
NCT06091891 ·Status: RECRUITING ·Phase: NA
-
Topical Tranexamic Acid in Major Paediatric Spine Deformity Surgery: A Randomized Controlled Trial
NCT02093988 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Tranexamic Acid in Intertrochanteric and Subtrochanteric Femur Fractures
NCT02580227 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Tranexamic Acid (TXA) on Reduction of Postoperative Blood Transfusion
NCT03063892 ·Status: RECRUITING ·Phase: PHASE4
-
The Effects of Fibrinogen Concentrate Infusion on Blood Loss and Allogeneic Blood Conservation in Scoliosis Surgery
NCT03183479 ·Status: COMPLETED ·Phase: PHASE4
-
Blood and Fluid Management During Scoliosis Surgery
NCT03814239 ·Status: COMPLETED
-
Effect of Tranexamic Acid Based on Pharmacokinetics in Pediatric Patients Undergoing Craniosynostosis Surgery: Randomized Controlled Trial
NCT02180321 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness Of Intravenous TXA on Reducing Perioperative Blood Loss For Patients Undergoing PAO
NCT03823417 ·Status: WITHDRAWN ·Phase: PHASE4
-
Tranexamic Acid Infusion During Elective Spine Surgery
NCT04312880 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
The Use of Tranexamic Acid to Reduce Perioperative Blood Loss During High Risk Spine Fusion Surgery
NCT01728636 ·Status: COMPLETED ·Phase: PHASE2
-
Combined IV and Topical TXA in Major Spine Surgery
NCT04797156 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Single Dose of Tranexamic Acid and Blood Loss, in Elderly Patients With Hip Fracture
NCT03251469 ·Status: UNKNOWN ·Phase: PHASE2
-
Effects of IV Tranexamic Acid on the Thromboelastogram in Patients Undergoing Total Hip or Knee Arthroplasty
NCT02648295 ·Status: COMPLETED
-
Tranexamic Acid in Orthopaedic Trauma Surgery
NCT02080494 ·Status: UNKNOWN ·Phase: NA
-
Effects of Tranexamic Acid on Blood Loss and Transfusion Requirement Following Hip Fracture
NCT02738073 ·Status: UNKNOWN ·Phase: NA
-
Tranexamic Acid Use in Acute Hip Fractures
NCT02947529 ·Status: COMPLETED ·Phase: PHASE4
-
Role of TXA in Patients Undergoing Breast Free Flap Reconstruction
NCT06428682 ·Status: RECRUITING ·Phase: PHASE4
-
Tranexamic Acid to Reduce Blood Loss in Spine Surgery
NCT02314988 ·Status: RECRUITING ·Phase: PHASE2/PHASE3