The Effect of Non-invasive Hemoglobin Measurement on Blood Transfusion and Mortality in Hip Surgeries: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Bleeding
- Sponsor
- Bulent Ecevit University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Hemodynamic Stability
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Bleeding is one of the most important causes of mortality and morbidity in patients.
Hb levels are the most prevalently utilized monitoring parameter in hemorrhagic patients in the hemodynamic sense. Hemoglobin determination is studied at laboratories along with blood gasses or complete blood analysis. Recently, non-invasive techniques where measurement is made from the fingertips have been offered for use. One of these techniques is non-invasive hemoglobin (SpHb) measurement. SpHb is used as a trend monitor. Based on the severity of bleeding, the compensatory mechanisms of patients may be disrupted. This situation may lead to lower levels of toleration of anemia during bleeding. The relationship between blood transfusion and mortality is under debate.
Investigators
OZCAN PISKIN, MD
Clinical Professor
Bulent Ecevit University
Eligibility Criteria
Inclusion Criteria
- •18-60 years old
- •General anesthesia undergoing hip surgery
- •American society of anesthesiology (ASA) scores I-II-III
Exclusion Criteria
- •Receiving inotropic support
- •Uncontrolled diabetes
- •Arrhythmia
- •Hypothermia
- •Hyperbilirubinemia
- •Dark skin pigmentation
- •Without voluntary consent
- •Hypovolemia,
- •hypotension,
- •blood diseases
Outcomes
Primary Outcomes
Hemodynamic Stability
Time Frame: during the surgery
to compare blood transfusion decisions made with SpHb measurement values and with conventional methods in patient who would receive hip surgery.
Secondary Outcomes
- Mortality(until 3 months after surgery)