Hemodilution and Coagulopathy With 3 Colloids
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Purpose
Aim of this in vitro trial is to assess the effect on blood coagulation after 60 % dilution with different colloids (HES 130/0.42, Gelatin and Gelatin balanced) and investigate reversibility by replacement of fibrinogen (FBG), factor XIII (F XIII), and the combination of FBG and FXIII.
In blood of 12 volunteers the following measurements are performed at baseline and 60% dilution with HES 130/0.42, Gelatin or Gelatin balanced: Blood gas analyses, coagulation factor concentrations (F II,F VII,F VIII,F XIII), impedance aggregometry and rotational thrombelastometry (ROTEM®). Then FBG, F XIII and a combination of both was added, in concentrations corresponding to 6 g FBG and 1250 IU F XIII in adults. ROTEM® measurements and determination of factor concentrations are again performed.
- Trial with medical device
| Condition | Intervention | Phase |
|---|---|---|
|
Dilutional Coagulopathy |
Other: Induced Coagulopathy by HES (Tetraspan), Gelatin (Physiogel), Gelatin balanced (Physiogel balanced) |
Phase 4 |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Influence of Hemodilution on Coagulation, pH, Platelet Function, Laboratory Values and ROTEM in Volunteers Using HES 6%, Gelatine and Balanced Gelatine and the Reversal of Coagulopathy With F XIII and Fibrinogen |
- Reversibility of in vitro induced coagulopathy [ Time Frame: Same day when blood was drawn ] [ Designated as safety issue: Yes ]Coagulopathy in vitro measured after 60 % dilution with HES, Gelatin and Gelatin balanced. Addition of fibrinogen and factor XIII as well as their combination and measurement if the coagulopathy was corrected.
| Enrollment: | 12 |
| Study Start Date: | June 2012 |
| Study Completion Date: | November 2012 |
| Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
-
Other: Induced Coagulopathy by HES (Tetraspan), Gelatin (Physiogel), Gelatin balanced (Physiogel balanced)
- This trial is in vitro and made with blood of healthy volunteers.
- Thus no drug no intervention beside drawing blood is beeing performed.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
volunteers
Inclusion criteria:
- signed informed consent from before blood withdrawal
Exclusion criteria:
- known coagulation disorders,
- any form of anticoagulation therapy,
- use of acetyl-salicylic acid within the past five days,
- use of non-steroidal anti-inflammatory agents within the past 24 hours,
- known renal disease or plasma concentrations of aspartate aminotransferase (>50 U l -1) or alanine aminotransferase (>50 U l-1)
- patients incapable of understanding the German language
Contacts and Locations| Switzerland | |
| University Hospital Zurich, Division of Anaesthesiology | |
| Zurich, ZH, Switzerland, 8091 | |
| Principal Investigator: | Oliver Theusinger, MD | University Hospital Zurich, Division of Anaesthesiology |
More Information
No publications provided
| Responsible Party: | University of Zurich |
| ClinicalTrials.gov Identifier: | NCT01727830 History of Changes |
| Other Study ID Numbers: | KEK-ZH-Nr. 2012-0042 |
| Study First Received: | November 5, 2012 |
| Last Updated: | November 12, 2012 |
| Health Authority: | Switzerland: Swissmedic |
Additional relevant MeSH terms:
|
Blood Coagulation Disorders Hemostatic Disorders Hematologic Diseases |
Vascular Diseases Cardiovascular Diseases Hemorrhagic Disorders |
ClinicalTrials.gov processed this record on May 16, 2013