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Hemorrhage clinical trials

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NCT ID: NCT02875353 Recruiting - Clinical trials for Delayed Post-Polypectomy Induced Ulcer Hemorrhage

Blood Flow Monitoring to Prevent Post-Polypectomy Induced Ulcer Bleeding

Start date: February 15, 2017
Phase: N/A
Study type: Interventional

The primary specific aim is to perform a randomized controlled trial (RCT) to compare rates of delayed hemorrhage after DEP detection of arterial blood flow and focal treatment in PPIU's (treatment arm) with standard treatment using medical guidelines alone (controls) for prevention of delayed bleeding in high risk patients (on anti-coagulants or anti-platelet drugs or with large ulcers) after snare resection of benign colon polyps.

NCT ID: NCT02875262 Recruiting - Clinical trials for Subarachnoid Hemorrhage

Deferoxamine in Aneurysmal Subarachnoid Hemorrhage Trial

DASH
Start date: December 2, 2022
Phase: Phase 1/Phase 2
Study type: Interventional

Aneurysmal subarachnoid hemorrhage (SAH) is a form of stroke in which secondary neurological deterioration is an important cause of mortality and morbidity. These secondary changes, so called delayed cerebral ischemia (DCI), are caused by lysis of erythrocytes which can react to form iron, an toxic substance to the brain. Iron chelators remove the excess of iron and are standard care in iron-overloaded patients. Deferoxamine (DFO) an chelator has not been evaluated in SAH patients. This study evaluates the safety of deferoxamine in SAH patients.

NCT ID: NCT02874326 Active, not recruiting - Anemia Clinical Trials

Octreotide in Patients With GI Bleeding Due to Rendu-Osler-Weber

ROW
Start date: October 2016
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine whether long-acting octreotide is safe and effective in the treatment of patients with Rendu-Osler-Weber (e.g. HHT). The study hypothesis is that octreotide is safe and will reduce transfusion requirements and endoscopy frequency in ROW patients with refractory anaemia due to bleeding gastrointestinal telangiectasias.

NCT ID: NCT02872857 Completed - Clinical trials for Subarachnoid Hemorrhage

Subarachnoid Hemorrhage Recovery And Galantamine

SAHRANG
Start date: September 2016
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to examine the effects of the study drug--Galantamine-on patients with subarachnoid hemorrhage (SAH). The study will examine how patients with SAH will tolerate the study drug and how it may improve brain functioning in patients after SAH.

NCT ID: NCT02872636 Completed - Clinical trials for Subarachnoid Hemorrhage

Extracorporeal Filtration of Subarachnoid Hemorrhage Via Spinal Catheter

PILLAR
Start date: March 23, 2017
Phase: N/A
Study type: Interventional

The objective of this feasibility study is to demonstrate the safety and feasibility of using an investigational extracorporeal system and catheter to filter hemorrhagic cerebrospinal fluid (CSF) post subarachnoid hemorrhage (SAH) treatment, and reintroduce the CSF via the same catheter.

NCT ID: NCT02866877 Completed - Clinical trials for Subarachnoid Hemorrhage

Effects of Augmented Renal Clearance on Pharmacokinetic and Pharmacodynamic Properties of Levetiracetam in Subarachnoid Hemorrhage

Start date: January 2016
Phase:
Study type: Observational

This study evaluates the pharmacokinetic profile of levetiracetam in critically ill patients who have suffered a subarachnoid hemorrhage. The patients will be evaluated for development of augmented renal clearance and the effects and duration of effects this may have on levetiracetam clearance.

NCT ID: NCT02866838 Completed - Clinical trials for Intracerebral Hemorrhage

Treatment of Intracerebral Hemorrhage in Patients on Non-vitamin K Antagonist

TICH-NOAC
Start date: December 2016
Phase: Phase 2/Phase 3
Study type: Interventional

Novel, non-vitamin K antagonist oral anticoagulants (NOAC) target selected players in the coagulation cascade as the direct thrombin inhibitor dabigatran and the factor Xa-inhibitors apixaban and rivaroxaban. Intracerebral hemorrhage (ICH) is the most feared complication of NOAC treatment (NOAC-ICH). Outcome of NOAC-ICH can be devastating and is a major cause of death and disability. There is no proven treatment for NOAC-ICH. Hematoma expansion (HE) is associated with unfavorable outcome. Tranexamic acid (TA) is an anti-fibrinolytic drug that is used in a number of bleeding conditions other than ICH.

NCT ID: NCT02864940 Terminated - Clinical trials for Subarachnoid Hemorrhage

Memory Training in Aneurysmal Subarachnoid Hemorrhage Patients

MASH
Start date: June 2016
Phase: N/A
Study type: Interventional

The study aim is to determine if periodic online cognitive exercises (Lumosity) improve memory function in ruptured cerebral aneurysm patients with disabling baseline memory deficits within the first 24 months after rupture. Half of the subjects will be randomized to use Lumosity-designed online cognitive exercises and half will serve as an active control group performing online crossword puzzles.

NCT ID: NCT02863250 Recruiting - Trauma Clinical Trials

Australian and New Zealand Massive Transfusion Registry

ANZ-MTR
Start date: March 2011
Phase:
Study type: Observational [Patient Registry]

Severe and un-stopped blood loss can occur for a number of different reasons including after a serious injury, delivery of a baby and following other medical and surgical emergencies. The investigators understanding of how to best treat people with serious bleeding is still incomplete, with many questions remaining. These include questions regarding how many people have serious bleeding events, what happens to them and the best way to treat them. The Massive Transfusion Registry (MTR) is a register of patients who have experienced major blood loss that required a massive transfusion in any clinical setting. The MTR uses electronic data extraction and data linkage methodologies. Pre-existing clinical data from hospital data sources, including Laboratory Information Systems (for transfusion history and laboratory results) and Health Information Services databases (for Patient demographics and admission data), are electronically extracted by staff employed at the participating hospitals. The data is then sent to the MTR Research Team, located at Monash University, where it is then linked, analysed and stored. The establishment of a Massive Transfusion Registry will be a unique and important resource for clinicians in Australia, New Zealand and internationally, for Blood Services and for the broader community. It will provide valuable observational data regarding the types and frequency of conditions associated with critical bleeding requiring massive transfusion, the use of blood component therapy (i.e. ratios and quantities of different types of red cell to non- red cell components) and patient outcomes.

NCT ID: NCT02861482 Completed - Clinical trials for Postpartum Hemorrhage

Early Usage of Bakri Ballon in Managing Postpartum Hemorrhage

Start date: January 2015
Phase: N/A
Study type: Interventional

Postpartum hemorrhage (PPH) is the top reason for maternal deaths in China. The four major causes of PPH include uterine atony, genital tract laceration, placenta factors and systemic medical disorders (including inherited and acquired coagulopathy). Management of PPH contains the application of uterotonic agents, using hemostasis agents, transfusion of blood component products, conservative procedures (intrauterine packing or balloon tamponade, compression sutures, vascular ligation and uterine artery embolization using sponges), and even hysterectomy. The Bakri Balloon has attained its efficacy and popularity ever since it was invented by Doctor YN. Bakri. Although it is recommended by many countries as a routine procedure for PPH management, the Bakri Balloon is not yet a first choice in China due to lack in clinical data of preventive usage. The aim of this study is to prove the efficacy and safety of the Bakri Balloon in early management of PPH.