Hypovolemic Phlebotomy to Reduce Blood Transfusions in Major Hepatic Resections
NCT03651154 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 440
Last updated 2025-07-31
Summary
Major liver resection is associated with substantial intraoperative blood loss and subsequently blood transfusions. Blood transfusion in elective liver surgery is a significant factor of perioperative morbidity and mortality, as well as possibly long-term oncologic outcome. The purpose of this study is to use whole blood phlebotomy to decrease the central venous pressure, resulting in a state of relative hypovolemia. It is hypothesized that this intervention will lead to a decrease in blood loss at the time of liver resection and thus reduced blood transfusion in major liver surgeries.
Conditions
- Liver Neoplasms
- Hepatectomy
- Blood Transfusion
- Blood Loss, Surgical
Interventions
- PROCEDURE
-
Hypovolemic Phlebotomy
Removal of 7-10ml/kg of blood from participant, as tolerated after patient is under anesthesia, before liver resection start time
Sponsors & Collaborators
-
Ottawa Hospital Research Institute
lead OTHER
Principal Investigators
-
Guillaume Martel, MD, MSc, FRCSC, FACS · Ottawa Hospital Research Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-09-28
- Primary Completion
- 2023-04-30
- Completion
- 2026-01-31
Countries
- Canada
Study Locations
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