Irradiated Blood Versus Non Irradiated Blood Transfusions in Craniosynostosis Repair
NCT02483702 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2018-10-19
Summary
Blood transfusions are required for patients undergoing a craniosynostosis repair due to the significant amount of blood loss. Irradiated or non-irradiated transfusions have many risks involved including elevated potassium levels and graft versus host disease (TA-GVHD). Irradiated blood is able to destroy the leukocytes responsible for TA-GVHD, but it adversely causes elevated extracellular potassium due to hemolysis of the RBC's. When this blood is transfused, it may introduce too much extracellular potassium (\> 6.5 meq/L) into the patient causing interference with the heart's conduction system significantly increasing the risk for hemodynamic changes, cardiac arrhythmias, and cardiac arrest. Hyperkalemia from rapid transfusions occurs much more frequently than TA-GVHD; however, both complications are under-reported.
The study aims to evaluate the risk of irradiated versus non-irradiated blood in patients under the age of 6 months undergoing a craniosynostosis repair. This will be done by comparing the levels of extracellular potassium pre-transfusion, during transfusion, immediately after transfusion, and 30 minutes after the completion of transfusion. The investigators hypothesize that the patients who receive irradiated blood will have an increased extracellular potassium level compared to those who receive non-irradiated blood.
Conditions
- Graft Versus Host Disease
- Hyperkalemia
- Craniectomy
- Synostectomy
- FOA
- Congenital Malformations
Interventions
- OTHER
-
Irradiated Blood Transfusions
Same as arm description - need to collect extracellular potassium values.
- OTHER
-
Non-Irradiated Blood Transfusions
Same as arm description - need to collect extracellular potassium values.
Sponsors & Collaborators
-
Valley Anesthesiology Consultants
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 2 Months
- Max Age
- 6 Months
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-08-31
- Primary Completion
- 2017-05-11
- Completion
- 2017-05-11
Countries
- United States
Study Locations
More Related Trials
-
The Effects of Fibrinogen Concentrate Infusion on Blood Loss and Allogeneic Blood Conservation in Scoliosis Surgery
NCT03183479 ·Status: COMPLETED ·Phase: PHASE4
-
Study of DDAVP Combined With TXA on the Blood Loss and Transfusion Need During and After Scoliosis Correction Surgery
NCT02084342 ·Status: UNKNOWN ·Phase: NA
-
Non-Idiopathic Scoliosis Treated With Tranexamic Acid
NCT01089140 ·Status: TERMINATED ·Phase: PHASE2
-
The Role of Tranexamic Acid in Reducing Blood Transfusion Requirements After Cardiopulmonary Bypass in Neonates
NCT01914211 ·Status: WITHDRAWN
-
Tranexamic Acid in Reducing Gross Hemorrhage and Transfusions of Spine Surgeries
NCT03011866 ·Status: UNKNOWN ·Phase: NA
-
Platelet Transfusion During Neonatal Open Heart Surgery
NCT03045068 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid in Cyanotic Heart Defects
NCT03244423 ·Status: COMPLETED ·Phase: PHASE2
-
Tranexamic Acid for Craniofacial Surgery
NCT00722436 ·Status: TERMINATED ·Phase: PHASE4
-
Transfusion HeAd NecK Surgery
NCT03910816 ·Status: COMPLETED
-
Transfusion Strategies in Pediatric Cardiothoracic Surgery
NCT00350220 ·Status: COMPLETED ·Phase: PHASE2
-
The Use of Tranexamic Acid to Reduce Perioperative Blood Loss During High Risk Spine Fusion Surgery
NCT01728636 ·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
-
Topical Tranexamic Acid in Major Paediatric Spine Deformity Surgery: A Randomized Controlled Trial
NCT02093988 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Efficacy of Topical Versus Intravenous Tranexamic Acid in Controlling Blood Loss
NCT06188052 ·Status: RECRUITING ·Phase: PHASE4
-
Tranexamic Acid to Reduce Blood Loss in Spine Surgery
NCT02314988 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Efficacy of Topical Tranexamic Acid in Reducing Blood Loss During CS in Patients With Placenta Previa
NCT06515535 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Tranexamic Acid Use and Blood Loss in Total Hip Arthroplasty
NCT02989155 ·Status: COMPLETED
-
Topical Tranexamic Acid and Acute Blood Loss in Total Knee Arthroplasty
NCT01370460 ·Status: COMPLETED ·Phase: PHASE2
-
Fibrinogen Concentrate vs Cryoprecipitate
NCT03014700 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid in Pediatric Scoliosis Surgery
NCT06091891 ·Status: RECRUITING ·Phase: NA
-
Effects of IV Tranexamic Acid on the Thromboelastogram in Patients Undergoing Total Hip or Knee Arthroplasty
NCT02648295 ·Status: COMPLETED
-
Local Subfascial and Intramuscular Tranexamic Acid Administration in Pediatric Patient Undergoing Scoliosis Surgery, Double Blind Randomized Control Trial
NCT04622397 ·Status: UNKNOWN ·Phase: NA
-
Role of Topical Tranexamic Acid in Total Hip Arthroplasty
NCT01866943 ·Status: TERMINATED ·Phase: PHASE2
-
IV Tranexamic Acid Prior to Hysterectomy
NCT02911831 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Tranexamic Acid in Adult Spinal Deformity Surgery
NCT03553186 ·Status: RECRUITING ·Phase: PHASE3