Fluid Management Strategies on Blood Loss in Liver Transplantation

NCT ID: NCT06215404

Last Updated: 2025-04-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-15

Study Completion Date

2025-12-31

Brief Summary

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During liver transplantation, due to the complexity of the operation and abnormal coagulation function, there may be a large amount of bleeding and corresponding blood transfusion. Excessive blood transfusion will increase pulmonary complications and affect the prognosis. Infusion management to reduce bleeding is a very important issue in liver transplant surgery. Restrictive infusion management can effectively reduce the amount of bleeding in liver transplantation, but it remains unclear whether it will cause sequelae in other major organs.

The investigators plan to study different infusion goals and strategies in liver transplant surgery using a randomized group model, using the PiCCO (Pulse Contour Cardiac Output) cardiopulmonary volume monitor, and setting the stroke volume variation (SVV) as the macroscopic circulation.The purpose of this study was to divide it into restrictive and liberal groups to explore the impact on liver transplantation bleeding volume and inflammatory response as well as postoperative lung and renal function, and to collect statistics on clinical care and postoperative sequelae (pulmonary liver, renal function impairment, etc.) in order to develop the most appropriate infusion management strategy in liver transplantation.

Detailed Description

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Conditions

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Liver Transplant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Liberal group

stroke volume variation \< 10%

Group Type ACTIVE_COMPARATOR

Liberal group

Intervention Type OTHER

Fluid challage to keep stroke volume variation \< 10%

restrictive group

stroke volume variation \< 18%

Group Type EXPERIMENTAL

restrictive group

Intervention Type OTHER

Fluid challage to keep stroke volume variation \< 18%

Interventions

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Liberal group

Fluid challage to keep stroke volume variation \< 10%

Intervention Type OTHER

restrictive group

Fluid challage to keep stroke volume variation \< 18%

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* end stage liver disease
* age between 18y/o to 75 y/o
* expected to recieve to receive liver transplantation

Exclusion Criteria

* arrythmia
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kuang-Cheng Chan, M.D.,PhD.

Role: PRINCIPAL_INVESTIGATOR

Department of Anesthesiology, National Taiwan University Hospital

Locations

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National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Kuang-Cheng Chan, M.D.,PhD.

Role: CONTACT

+886-2-23123456 ext. 262158

Facility Contacts

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Kuang-Cheng Chan

Role: primary

Other Identifiers

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202308015MINC

Identifier Type: -

Identifier Source: org_study_id

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