Cell Salvage During Caesarean Section (CSCS)

Status Not yet recruiting

Clinical Trial Summary

The purposes of this study are:

1. To compare the difference of blood loss of the patients undergoing cesarean section between intraoperative blood recovery and allogeneic blood transfusion.

2. To compare the safety of the two methods.

3. To evaluate the medical cost and the overall cost of the two methods.

Clinical Trial Description

Preoperative: 1.To select patients according to the criteria.2.To obtain the consent of the obstetrician, the anesthesiologist, and the patients.

Intraoperative:According to local blood transfusion guidelines, obstetric advice, anesthesia advice(tentative: before a blood transfusion maternal's Hb less than 70g/L or Hb:70-100g/l before a blood transfusion according to the blood transfusion program and doctor's determine to do the blood transfusion),those who need blood transfusion during cesarean section will be randomly assigned to the following two groups:

1. cesarean section using intraoperative blood recovery group (test group).

2. cesarean section using allogeneic blood transfusion group (control group).

The theoretical amount of blood transfusion should be based on the following formula:

The amount of blood transfusion needed (ML) * Hb= (Hb2-Hb1) * blood volume of blood transfusion Hb1: actual measured hemoglobin; Hb2: target hemoglobin (100 g / L) Blood volume = 100ml/kg * body weight The difference between the actual blood transfusion and the theoretical blood transfusion should be controlled within ± 15% of the theoretical blood transfusion (in terms of hemoglobin), whether the test group or the control group.

Postoperative: Calculate the amount of bleeding in the subjects and other related indicators.

Follow up: maternal pregnancy again: detection of maternal blood group antibody IgG titer, hemolytic disease of the newborn Statistical data: the specially assigned person is responsible for the data collection. And the data is entryed by two times (the first phase: hospitalization period, the second phase: follow-up), which is by the inspectors to verify the authenticity and traceability. ;

Study Design

Related Conditions & MeSH terms

Blood Transfusion

Clinical Trial Details

NCT number	NCT03429790
Study type	Interventional
Source	Wenzhou Medical University
Contact	Ting LI, M.D.
Phone	00447570150148
Email	liting1021@aliyun.com
Status	Not yet recruiting
Phase	N/A
Start date	November 1, 2018
Completion date	December 31, 2020

View Details

See also
Status	Clinical Trial	Phase
Active, not recruiting	`NCT03651154` - Hypovolemic Phlebotomy to Reduce Blood Transfusions in Major Hepatic Resections	N/A
Completed	`NCT01136590` - Multicenter, Randomized Placebo-controlled Clinical Trial to Evaluate the Effect of Perioperative Use of Tranexamic Acid on Transfusion Requirements and Surgical Bleeding in Major Spine Surgery	Phase 4
Completed	`NCT00097006` - Retrovirus Epidemiology Donor Study-II (REDS-II)	N/A
Completed	`NCT00005303` - Effectiveness of AIDS Antibody Screening	N/A
Completed	`NCT00005319` - Epidemiologic Studies of Blood Use in the United States - SCOR in Transfusion Medicine	N/A
Completed	`NCT00005301` - Transfusion Safety Study (TSS)	N/A
Completed	`NCT00000581` - Granulocyte Transfusion Study	Phase 3
Completed	`NCT04089865` - Oral Versus Intravenous Tranexamic Acid	Phase 4
Completed	`NCT02968654` - TRansfusion Strategies in Acute Brain INjured Patients	N/A
Enrolling by invitation	`NCT06019364` - Transfusion of Whole Blood in Acute Bleeding
Completed	`NCT04911413` - Comparison of Three Tranexamic Acid Dose Regimens in Patients Undergoing Cardiac Valve Surgery	Phase 4
Completed	`NCT03727230` - RhD+ Blood Transfusion to Asian-type DEL Recipients	N/A
Recruiting	`NCT06102590` - Oxygen Extraction-guided Transfusion	N/A
Completed	`NCT00400192` - Transfusion-Associated Microchimerism in Individuals Receiving a Blood Transfusion After a Traumatic Injury	N/A
Completed	`NCT00000593` - Viral Activation Transfusion Study (VATS)	N/A
Completed	`NCT05581238` - Validation of a Red Blood Cell Transfusion Prediction Model in a Low Transfusion Rate Population.
Completed	`NCT05627544` - Blood Transfusion Applications in Hip Replacements
Completed	`NCT00822588` - Comparison in Need for Bank Blood Between Patients Undergoing Total Hip Surgery That Either Receive Their Own Blood Back or Not	N/A
Withdrawn	`NCT00269971` - A Study to Determine an Effective Dose of Epoetin Alfa to Decrease the Number of Units of Blood Required to be Transfused During Hip Replacement Surgery.	Phase 3
Completed	`NCT03930355` - Perioperative Transfusion Related Outcome

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.