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Hemorrhage clinical trials

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NCT ID: NCT02684851 Completed - Clinical trials for Acetabular Fractures

The Use of Tranexamic Acid to Reduce Blood Loss in Acetabular Surgery

TXA
Start date: October 2012
Phase: Phase 3
Study type: Interventional

The purpose of this study is to determine if patients undergoing acetabular ORIF (open reduction with internal fixation) who receive tranexamic acid have a reduced risk of allogenic blood transfusion, perioperative blood loss, wound complication and higher risk for thromboembolic events compared to patients who receive placebo. Investigators want to determine the cost-effectiveness related to allogenic blood transfusion as a blood loss management strategy in acetabular open reduction internal fixation (ORIF). Orthopaedic surgery carries with it a significant risk for blood loss. Current management of perioperative blood loss is the use of allogenic blood transfusion. Allogenic blood transfusion carries with it a risk for HIV and Hepatitis C as well as multiple adverse reactions. There have been significant efforts to reduce the use of allogenic blood transfusion in orthopaedic surgery. Tranexamic acid, an anti-fibrinolytic agent, has been used in management of blood during surgery. In order to determine the impact of tranexamic acid in reducing blood loss among patients undergoing acetabular ORIF, investigators will conduct a prospective randomized study. Patients undergoing acetabular surgery will be screened for this study. Patients will be then randomized to placebo or tranexamic acid which will be administered during and after surgery. The following data will be collected: patient characteristics, surgery information, blood loss, blood transfusions, wound complication within 30 days of surgery, and cost.

NCT ID: NCT02684812 Completed - Clinical trials for Subarachnoid Hemorrhage

Ultra-early Tranexamic Acid After Subarachnoid Hemorrhage.

ULTRA
Start date: July 16, 2012
Phase: Phase 2/Phase 3
Study type: Interventional

This is a multicenter, prospective, randomized, open-label trial with blinded endpoint (PROBE) assessment. Adult patients with the diagnosis of non-traumatic SAH, as proven by computed tomography (CT) within 24 hours after the onset of headache, will be randomly assigned to the treatment group or the control group. Patients in the treatment group will receive standard treatment with the addition of a bolus of TXA (1 g intravenously) immediately after randomization, followed by continuous infusion of 1 g per 8 hours until the start of aneurysm treatment, or a maximum of 24 hours after the start of medication. Patients in the control group will receive standard treatment without TXA. The primary outcome measure is favorable functional outcome, defined as a score of 0 to 3 on the modified Rankin Scale (mRS), at 6 months after SAH. Primary outcome will be determined by a trial nurse blinded for treatment allocation.

NCT ID: NCT02684500 Completed - Clinical trials for Intracranial Aneurysm

Aneurysmal Subarachnoid Hemorrhage and Superior Mesenteric Artery Flow Study

Start date: April 11, 2016
Phase:
Study type: Observational

The purpose of this research study is to determine if the diameter and flow of the superior mesenteric artery in patients with aneurysmal subarachnoid hemorrhage undergoing hypertensive therapy for cerebral artery vasospasm are effected enough to justify withholding enteral nutrition.

NCT ID: NCT02677818 Withdrawn - Ischemic Stroke Clinical Trials

The Relationship Between Clotting Factor VIII and Bleeding Adverse Reactions in Patients Under the Therapies of Thrombolysis, Anticoagulation and Anti-platelet

Start date: May 2016
Phase:
Study type: Observational

The purpose of this study is to determine whether Plasma Factor VIII Levels are related to the treatment of bleeding in ischemic stroke(IS).

NCT ID: NCT02675985 Completed - Clinical trials for Subarachnoid Hemorrhage

Early Intensive Physical Therapy in Subarachnoid Hemorrhage

Start date: August 2016
Phase: N/A
Study type: Interventional

This study will investigate the safety and feasibility of early intensive physical therapy for patients diagnosed with subarachnoid hemorrhage. Intervention will begin in the neurological Intensive Care Unit (ICU) and continue for 30 days or hospital discharge.

NCT ID: NCT02673788 Active, not recruiting - Clinical trials for Intracranial Hemorrhages

Follow-Up Study of Safety of Pneumostem® in Premature Infants With Intraventricular Hemorrhage

Start date: January 2016
Phase:
Study type: Observational

This is a follow-up study of the open label, single-center, phase I clinical trial to evaluate the safety of Pneumostem® in premature infants with Intraventricular hemorrhage.

NCT ID: NCT02672891 Completed - Clinical trials for Postpartum Hemorrhage

Intrauterine Balloon Tamponade in the Management of Postpartum Hemorrhage

Start date: May 2011
Phase: N/A
Study type: Interventional

Intrauterine balloon tamponade in the management of postpartum hemorrhage in the obstetrics emergency ward in menoufiya university hospitals as a low resource setting.Guidelines for the management of postpartum hemorrhage involve a stepwise approach including the exclusion of retained products and genital tract trauma. Uterine atony, which is the most common cause, is dealt with uterine rubbing and various uterotonic agents. Among the new modalities introduced to arrest the bleeding is the uterine tamponade using various balloons and catheters. The condom catheter uses a sterile rubber catheter fitted with a condom for uterine tamponade .

NCT ID: NCT02670824 Completed - Clinical trials for Intracerebral Hemorrhage (ICH)

Safety Study of CN-105 Neuroprotective Peptide for Intracerebral Hemorrhage

Start date: December 2015
Phase: Phase 1
Study type: Interventional

This study evaluates the safety, tolerability, and pharmacokinetics (PK) of a single escalating dose and repeated doses of CN-105 in healthy adult participants. There will be about 48 subjects, 36 active and 12 placebo.

NCT ID: NCT02667600 Completed - Pregnancy Clinical Trials

Blood Loss Measurement During Cesarean Delivery

Start date: May 2016
Phase:
Study type: Observational

The aim of this study is to assess the ability of the Triton Device to measure blood loss among women undergoing elective and non-elective cesarean delivery. This patient population often experiences significant blood loss during surgery, and measurements of surgical blood loss are often inaccurate.

NCT ID: NCT02661672 Completed - Clinical trials for Intracranial Hemorrhage

INVEST-REGISTRY: Minimally Invasive Endoscopic Surgical Treatment With Apollo/Artemis in Patients With Brain Hemorrhage

Start date: October 14, 2016
Phase: N/A
Study type: Interventional

Objective: The primary objective of this multicenter prospective registry is to provide additional safety, technical outcomes and clinical outcomes data for minimally invasive endoscopic surgery (MIES) with Apollo or Artemis for the evacuation of supratentorial brain hemorrhage in adult patients who do not qualify for the concurrent INVEST Feasibility randomized controlled trial at active INVEST centers.