Individualized blood management for non-cardiac surgeries
Official title: Individualized Acute Normovolemic Hemodilution for Non-cardiac Surgery With Anticipated High-dose Red Cells Transfusion
Run by West China Hospital · NCT06399536 · Data updated 2026-11-12
This study tests whether a personalized blood management technique can help adults having non-cardiac surgeries avoid needing blood transfusions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | West China Hospital Academic / other |
| Locations | 1 site (Chengdu, Sichuan) |
| Status | Recruiting |
| Started | June 1, 2024 |
| Main results expected | May 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | December 4, 2024 |
| Trial ID | NCT06399536 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 undergoing elective non-cardiac surgery with an anticipated need for more than 8 units of red blood cells.
✕Probably not a fit
Patients who refuse blood transfusions or have significant comorbidities such as cardiopulmonary insufficiency or renal impairment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial investigates the effects of individualized acute normovolemic hemodilution (ANH) on the need for red blood cell transfusions in adults undergoing non-cardiac surgeries with expected significant blood loss. The study aims to reduce the complications associated with allogeneic blood transfusions by employing a technique that dilutes blood volume while maintaining normal blood pressure. Participants will be randomly assigned to receive individualized ANH or standard care to evaluate the effectiveness of this approach in minimizing transfusion requirements.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the need for blood transfusions and associated complications during major surgeries.
How similar studies have gone: While ANH has shown mixed results in previous literature, this individualized approach may provide new insights and improvements in its application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients undergoing elective non-cardiac surgery with an anticipated red blood cells transfusion \>8 units (or 1600ml) * Aged 18\~75 years * Preoperative Hb level \> 120g/L for men and \> 110g/L for women. Exclusion Criteria: * Refusal of blood transfusion * Cardiopulmonary insufficiency * Cerebrovascular disease * Renal impairment * Hemoglobinopathies or blood system diseases * Other situations not suitable for inclusion in clinical trial.
Where it's running
-
West China Hospital of Sichuan University
Chengdu, Sichuan, China Recruiting
Study contacts
- Principal investigator: Ren Liao — West China Hospital
- Study coordinator: Ren Liao, M.D.
- Email: liaoren7733@163.com
- Phone: +86-18980602177
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Monitoring transfusions during anesthesia in emergency situations
This study is looking at how blood transfusions are done during emergency surgeries to help improve future treatment guidelines for patients.
-
Comparing individualized and conventional blood transfusion strategies during ECMO for heart failure
This study is testing whether a personalized blood transfusion approach during heart support treatment can help patients use less blood and have better outcomes compared to the standard method.
-
Effects of fluid infusion rates on blood circulation during surgery
This study tests how different rates of fluid given during surgery can improve blood flow and oxygen delivery to tissues for patients undergoing elective surgeries with little blood loss.
-
Improving oxygen delivery during blood transfusions with S-nitrosylation therapy
This study is testing if a special treatment can improve oxygen delivery to tissues during blood transfusions to help people feel better after receiving stored red blood cells.
-
Examining how blood transfusion practices affect ICU patient outcomes
This study looks at how blood transfusion practices impact the recovery of patients in intensive care units to see if better monitoring can lead to improved outcomes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.