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Improving blood coagulation function and reducing blood loss in infants after open heart surgery

Phase 3
Conditions
Haemostasis during and after paediatric cardiopulmonary bypass
Blood - Other blood disorders
Surgery - Other surgery
Registration Number
ACTRN12606000057583
Lead Sponsor
Royal Childrens Hospital and Murdoch Children's Research Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
80
Inclusion Criteria

Infants of either sex and less than one year of age having open heart surgery with cardiopulmonary bypass and who have no pre-existing haemostatic abnormality or platelet dysfunction, will be eligible for the study.

Exclusion Criteria

Infants will be excluded if 1) cardiac output is greater than 1.5 litres/min; 2) body weight is less than 3 kg; 3) they have a known abnormality of platelet function or are on anti-platelet therapy; 4) they are receiving inhaled nitric oxide gas or any nitric oxide-donor therapy; 5) they have a known blood coagulation abnormality or are on anticoagulation therapy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine if supplementation of standard heparin anticoagulation with NO gas and/or prostacyclin in infants reduces activation of platelets and the coagulation cascade[Measured at the end of cardiopulmonary bypass, and preserves platelet function, measured 6 and 24 hours after the end of bypass.]
Secondary Outcome Measures
NameTimeMethod
To determine if supplementation of standard heparin anticoagulation with NO gas and/or prostacyclin in infants during cardiopulmonary bypass reduces postoperative blood loss.[Measured 6 and 24 hours after the end of bypass, or requirement for blood or blood products in Intensive Care and in the period between the end of surgery and hospital discharge.]
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