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Hemorrhage clinical trials

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NCT ID: NCT05293041 Recruiting - Clinical trials for Inflammatory Response

Argipressin's Influence on Blood Loss During Hepatic Resection

ARG-01
Start date: March 27, 2022
Phase: Phase 4
Study type: Interventional

Infusion of Argipressin during hepatic resection surgery may reduce blood loss. It may also reduce transfusion requirements, and mitigate the perioperative inflammatory response compared to placebo. Subjects will be randomized to infusion of Argipressin or placebo during surgery. Blood loss, transfusion requirements, surgical data including length of stay in hsopital, inflammatory markers and markers of renal- intestinal- and cardiac injury will be assessed.

NCT ID: NCT05292326 Recruiting - Hemorrhage Clinical Trials

Safety and Efficiency of the PacePress to Prevent Hemorrhagic Complications in Patients Undergoing CIED Implantation.

PacePress
Start date: May 25, 2021
Phase: N/A
Study type: Interventional

PacePress medical device, by ensuring constant compression force and the ability to optimize it in the pocket area prevents/significantly reduces the risk of hemorrhagic complications, including but not limited to the operation pocket hematoma. By avoiding a strong localized compression and ensuring "covering compression" achieved by the appropriate distribution of compression forces on the entire implantation site area, with an automated compression force control, the risk of a pressure sore created in the compressed pocket area is reduced.

NCT ID: NCT05290857 Recruiting - Clinical trials for GastroIntestinal Bleeding

Anticoagulation After GI Bleeding Pilot Study and Registry

PANTHER-GI
Start date: March 31, 2022
Phase: N/A
Study type: Interventional

PANTHER-GI Pilot Study will assess the feasibility of a full-scale multicentre cohort management study evaluating the safety of a standardized strategy for resuming direct oral anticoagulants (DOACs) after major DOAC-related gastrointestinal (GI) bleeding among patients at moderate to high risk of re-bleeding and thrombosis. A parallel registry will assess whether eligible patients who are not enrolled in the PANTHER-GI Pilot Study are systematically different than enrolled patients and to explore barriers to enrolment.

NCT ID: NCT05290129 Recruiting - Clinical trials for Postpartum Hemorrhage

Oxytocin Maintenance Infusion in Labouring Women Undergoing Cesarean Delivery: an Up-down Sequential Allocation Study

Start date: August 17, 2022
Phase: N/A
Study type: Interventional

This study is designed to determine the minimal effective oxytocin maintenance infusion required in labouring women undergoing cesarean delivery to achieve the best effect. Oxytocin is a drug that is routinely used to help the uterus to contract and keep it contracted after delivery. Consequently, it will help to reduce blood loss after delivery. In order to determine the minimal effective dose, the investigators will conduct a dose-finding study. The first patient will receive a set oxytocin infusion. The next patient's infusion dose of oxytocin, will either increase or decrease, depending on how the previous patient responds in terms of uterine tone. If the response is satisfactory with the infusion dose used, the next patient will either receive the same infusion dose or it will be decreased depending on a probability of 1:9. If the response is not satisfactory, then the infusion dose will increase for the next patient. The dose for each patient will be determined based on the results of the uterine contraction of the previous patient. The investigators hypothesize that the ED90 of the oxytocin infusion rate to maintain adequate uterine tone in labouring women with induced or augmented labour undergoing cesarean delivery, following an initial effective bolus dose, would be lower than 0.74 IU/min (44 IU/h), which was found as the ED90 in a previous study, without an initial bolus dose prior to the infusion.

NCT ID: NCT05288322 Completed - Clinical trials for Post Partum Hemorrhage

Mostafa Maged Maneuveur to Prevent and Control Post-partum Haemorrhage During Normal Vaginal Delivery

Start date: April 10, 2022
Phase: N/A
Study type: Interventional

PPH is commonly defined as blood loss exceeding 1000 milliliters after vaginal birth or cesarean section.1 PPH is often classified as primary/immediate/early (occurring within 24 hours of birth) or secondary/delayed/late (occurring from more than 24 hours postbirth to up to 12 weeks postpartum).. Atonic post-partum haemorrhage is one of the most challenging complications of normal delivery process . There are many maneuveurs applied to the atonic uterus for controlling the blood loss and conserving the uterus from hysterectomy process . There are pharmacological and surgical methods to control the bleeding . In this study , Mostafa Maged technique is to prevent and control post-partum bleeding during vaginal delivery . It is so simple and not-costly method .

NCT ID: NCT05287334 Recruiting - Blood Loss Clinical Trials

Blood Loss Measurement Using Electrical Impedance Tomography

Start date: July 1, 2022
Phase: N/A
Study type: Interventional

The project focuses on the possibility of detecting blood loss using electrical impedance tomography. Based on previous animal experiments, it was found that the bolus of saline significantly affects the signal of chest bioimpedance. It is assumed that blood loss of a similar volume will cause a similar signal change with the opposite trend. The aim of this project is to determine whether there is a significant change in the thoracic electrical impedance tomography signal when blood loss is caused by voluntary blood donation.

NCT ID: NCT05282836 Not yet recruiting - Clinical trials for Aneurysmal Subarachnoid Hemorrhage

Early Hydrogen-Oxygen Gas Mixture Inhalation in Patients With Aneurysmal Subarachnoid Hemorrhage (HOMA)

HOMA
Start date: March 15, 2022
Phase: N/A
Study type: Interventional

This was a randomized, single-center trial. On the basis of standard-of-care, patients in the treatment group inhaled H2-O2 (66% hydrogen; 33% oxygen) at 3 L/min via nasal cannula by using the Hydrogen/Oxygen Generator (model AMS-H-03, Shanghai Asclepius Meditech Co., Ltd., China) during a 7-day stay in the intensive care unit. Patients in the control group received standard-of-care (consisting of oxygen therapy) alone. This study intends to apply Hydrogen/Oxygen Generator in clinical patients with aneurysmal subarachnoid hemorrhage (aSAH), exploring the role of hydrogen-oxygen mixed gas inhalation therapy in early brain injury, and the prevention of cerebral vasospasm and delayed cerebral ischemia, finally providing a scientific basis for hydrogen treatment of aSAH.

NCT ID: NCT05280912 Completed - Clinical trials for Bleeding Following Tonsillectomy (Disorder)

Factors Associated With The Risk of Post Tonsillectomy Hemorrhage

Start date: April 1, 2022
Phase:
Study type: Observational

factors associated with increase risk of post tonsillectomy hemorrhage and score of associated factors

NCT ID: NCT05276934 Recruiting - Clinical trials for Intracranial Aneurysm

Brain Imaging After Non-traumatic Intracranial Hemorrhage (SAVEBRAINPWI)

SAVEBRAINPWI
Start date: March 1, 2022
Phase:
Study type: Observational

The study is an observational prospective evaluation of an approved and unchanged clinical management, evaluating different diagnosis methods to assess brain perfusion in patients with an aneurysmal or AVM-related intracranial hemorrhage

NCT ID: NCT05273632 Completed - Clinical trials for Blood Loss, Surgical

Comparison Study of Oxytocin Versus Tranexamic Acid and Etamsylaye Versus Placebo(Saline)

Start date: March 20, 2022
Phase: N/A
Study type: Interventional

Comparison Study Between Oxytocin Versus Tranexamic Acid and Ethamsylate Versus Normal Saline as Pre-operative Administration.