The Effect of Heparinization Due to LBW in Cardiac Surgery
Trial Snapshot
- Phase
- Phase 4
- Sponsor
- Enrollment
- 50
- Primary Endpoint
- ACT
Study Overview
Brief Summary
High dose heparin regimens are required in cardiac surgery under cardiopulmonary bypass (CPB) and this may increase postoperative bleeding. The aim of this study is to evaluate the effect of heparin dose calculated according to lean body weight on intraoperative and postoperative bleeding.
Detailed Description
Patients with preoperative demographic data such as age, gender, body weight, height, and additional disease, medications, previous surgery, preoperative Htc / Hb values were recorded in the operation room without medical premedication. Standard anesthesia induction was performed after arterial cannulation and peripheral venous route. Patients were randomly divided into two groups: 400 IU heparin / kg (Group I) and 400 IU heparin / kg (Group II) according to actual body weight and lean body weight respectively before CPB. Before and after heparin administration, CPB entry and ACT (Activated Clotting Time) values were counted every 30 minutes, after CPB exit and protamine. In both groups, supplemental heparin was administered when there was a failure to reach the pre-CPB target ACT value of 400 sec. Hemodynamic data and transfusion requirements were recorded during the operation. Patient's intraoperative CPB and crossover times, postoperative drainage volume and blood transfusion requirement were recorded.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- Single (Care Provider)
Masking Description
Closed envelope
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •18-65 years old, first time valve surgeries which was done on-pump.
Exclusion Criteria
- •Revision valve surgeries
- •Patients with coagulation deficits
Arms & Interventions
Heparinisation,actual body weight
In 'Heparinisation,actual body weight' group , heparin sodium; will be done according to actual body weight and ACT will be recorded prior to CPB. Before coming out CPB, protamine will be done according to heparin dose. And then ACT will be recorded.
Intervention: Heparin Sodium (Drug)
Heparinisation, lean body weight
In 'Heparinisation, lean body weight' group heparin sodium will be done according to lean body weight and ACT will be recorded prior to CPB. Before coming out CPB, protamine will be done according to heparin dose. And then ACT will be recorded.
Intervention: Heparin Sodium (Drug)
Outcomes
Primary Outcomes
ACT
Time Frame: Through study completion, an average of 48 hours
Activated clotting time
Secondary Outcomes
- Bleeding(Through study completion, an average of 48 hours)
Investigators
Dr. Ülkü Sabuncu
Medical Doctor
Adiyaman University Research Hospital