Intra Operative Bleeding, Blood Salvage Clinical Trial
Official title:
Exposure of Salvaged Blood to Inflammation and Oxidative Stress: the Effect of Different Anticoagulant Regimes. Heparin vs Citrate in Cellsaver (HECICS).
The primary aim of this randomized controlled study is to determine whether the use Anticoagulant Citrate Dextrose Solution--Formula A (ACD-A) in cell salvage reduces inflammation and oxidative stress in cell saver blood compared to heparin. The secondary aim is to determine whether any differences in activation can be correlated to any differences in postoperative clinical outcome.
The first primary outcome of this study is the difference in concentration of pro- and
anti-inflammatory markers and markers of oxidative stress in the cell-free fraction of the
centrifugate of the unwashed autologous blood/anticoagulant mixture in the cell saver
reservoir, after correction for cardiopulmonary bypass (CPB) time up to the start of the
first washing cycle and contact time of the anticoagulant (either ACD A or heparin) with the
saved blood:
- total antioxidant status (TAS)
- Total thiols in proteins (TTP)
- oxidized LDL (oxLDL)
- Pro-inflammatory markers: interleukins (IL), IL-6, IL-8, myeloperoxidase (MPO)
- Anti-inflammatory marker: IL-10
The second primary outcome of this study is the difference in direct quality of the washed,
salvaged red blood cells (RBC):
- Blood smear: evaluation by light microscopy
- Osmotic fragility
- Haemoglobin and hematocrit
- Free haemoglobin
- Free iron
- Lactate
- pH Confounding factors (CPB duration, contact time of anticoagulant with saved blood,
time since first washing cycle in case of multiple washing cycles) will be controlled
for.
Secondary outcome:
The difference in concentration of the same pro/anti-inflammatory and oxidative stress
markers in patient plasma preoperatively vs immediately before and after transfusion of cell
saver blood (2 to 3 hours after transfusion and before extubation or transfusion of
allogenous blood).
- C-reactive protein (CRP)
- TAS, TTP
- oxLDL
- IL-6, IL-8, IL-10
- MPO Markers for hemolysis in patient plasma preoperatively vs immediately pre- and
post-transfusion of the salvaged RBC (indirect quality of the washed salvaged RBC).
- Free Hb
- Free iron, ferritin, transferrin
- Haptoglobin
- Hepcidin
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