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Prothrombin Complex Concentrate vs Fresh Frozen Plasma in Goal-directed Bleeding Management in Cardiac Surgery

Phase 4
Not yet recruiting
Conditions
Cardiac Valve Disease
Interventions
Biological: prothrombin complex concentrate
Biological: fresh frozen plasma
Registration Number
NCT06144125
Lead Sponsor
Konkuk University Medical Center
Brief Summary

The primary endpoint of this study is the completion time of hemostasis treatment when administered Fresh frozen plasma (FFP) and frozen powder coagulation factor concentrate (PCC) in goal-directed bleeding management for cardiac surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
152
Inclusion Criteria
  • patients undergoing cardiac surgery
Exclusion Criteria
  • thrombocytopenia
  • oral anti-coagulant
  • anti platelet agents

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
prothrombin complex concentrateprothrombin complex concentrateaccording to the Rotational thromboelastometry (ROTEM) test, CT-EXTEM prolongation, prothrombin complex concentrate (PCC) is administered
fresh frozen plasmafresh frozen plasmaaccording to the Rotational thromboelastometry (ROTEM) test, CT-EXTEM prolongation, fresh frozen plasma transfusion (FFP) is performed
Primary Outcome Measures
NameTimeMethod
treatment time1 min

duration from the time diagnosing CT-EXTEM prolongation to the time achieving bleeding control

Secondary Outcome Measures
NameTimeMethod
MA-EXTEM10 min

Maximal amplitude-EXTEM after PCC or FFP

MA-FIBTEM10 min

Maximal amplitude-FIBTEM after PCC or FFP

Red Blood Cell amountI hour

Red Blood Cell transfusion amount during surgery

Postoperative bleeding24 hour

chest tube drainage at postoperative 24 hour

FFP amount1 hour

Red Blood Cell transfusion amount during surgery

Platelet amount1 hour

Platelet transfusion amount during surgery

CT-EXTEM10 min

clotting time-EXTEM after PCC or FFP

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