Prospective Randomized Controlled Clinical Trial Comparing a Restrictive Versus Liberal Transfusion Strategy in Neonates and Infants Undergoing Surgery for Congenital Heart Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Impaired Oxygen Delivery
- Sponsor
- University of Rochester
- Enrollment
- 162
- Locations
- 1
- Primary Endpoint
- oxygen utilization derived from the arterio-venous oxygen difference.
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
In neonates and infants </= 10 kg following cardiac surgery for congenital heart disease a more restrictive red blood cell (RBC) transfusion strategy will be as effective as, and possibly superior to, a liberal RBC strategy. Allowing lower hemoglobin concentration will not affect the cardiac or pulmonary status of the patient.
Investigators
jill cholette
Assistant Professor of Pediatrics
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •children \</= 6 months of age with congenital cardiac disease undergoing cardiac surgery with cardiopulmonary bypass.
Exclusion Criteria
- •presence of a known bleeding disorder or coagulopathy.
- •age \> 6 months,
- •lack of informed consent.
Outcomes
Primary Outcomes
oxygen utilization derived from the arterio-venous oxygen difference.
Time Frame: 3 days
Arterial and venous oxygen saturations will be measured every four hours x 48-72 hours and will be used to calculate arterio-venous oxygen content differences.
Secondary Outcomes
- volume of RBC transfused(7 days)