Comparison Between Colloids and Crystalloids on Coagulation and Blood Loss
NCT06683079 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2024-11-12
Summary
Infusion of intravenous fluids is mandatory especially in major and prolonged surgeries. However, there is no available optimum ideal type of fluid nor a fixed amount suitable for transfusion but it must be individualized for every patient to minimize the side effects of fluids.
Ringer's lactate as an example of crystalloids, causes a transient hypercoagulable state after its infusion, disappears in less than 6 hours of infusion and the coagulation profile returns to its state before Ringer's.
Voluven (Hydroxyehthyl starch 130/0.4) a colloid causes a hypocoagulable state after its infusion, and its effect is prolonged to more than 6 hours after infusion.
The effects of hydroxyethyl starch are not dose-dependent, but they can be remarkable even with mild to moderate amount of blood dilution applying nearly a restrictive fluid transfusion strategy and a goal-directed fluid therapy mode.
The amount of needed crystalloids is much more than that of colloids to maintain patients hemodynamically stable.
Conditions
- Coagulopathy
Sponsors & Collaborators
-
Assiut University
lead OTHER
Principal Investigators
-
Kilany Ali Abdelsalam · Supervisor
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-09-15
- Primary Completion
- 2019-09-01
- Completion
- 2019-11-01
Countries
- Egypt
Study Locations
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