Condition: Obstetric Hemostasis · Intravascular Hemolysis · Major Obstetric Hemorrhage · Sponsor: Aswan University
The goal of this clinical trial is to compare the safety and efficacy of manual syringing versus pneumatic pressure bags for blood transfusion in patients experiencing major obstetric hemorrhage during a cesarean section. It will also evaluate the effectiveness of these methods in rapidly stabilizing patient vital signs. The main questions it aims to answer are:Does manual syringing result in a higher incidence of hemolysis (red blood cell destruction) compared to pneumatic pressure bags?Which method is more effective and faster at achieving hemodynamic stability (restoring normal blood pressure, heart rate, and oxygen levels)?Are there differences between the two methods regarding total blood product usage, transfusion-related complications, and the length of hospital stay?Researchers will compare manual syringing (using 20 mL syringes) to pneumatic pressure bags (inflated to 300 mmHg) to determine which is safer and more efficient for emergency transfusions in resource-constrained environments.Participants will:Be women aged 18-45 years undergoing a cesarean section who are diagnosed with major obstetric hemorrhage (blood loss \>1000 mL or hemodynamic instability).Be randomly assigned to one of two groups to receive their blood transfusion through either the manual syringe method or a pneumatic pressure bag.Receive standard vascular access through multiple peripheral and jugular cannulae.Undergo close monitoring of vital signs to determine the time to stabilization.Provide …
This description comes directly from the study's public registry record.
Soudy Hammad, lecturer of anesthesia,SICU, · +201014761523 · soudi.salah@aswu.edu.eg
Tarek Hemaida, lecturer · +201007363190 · dr.tarek@aswu.edu.eg
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| Aswan University Hospital | Aswān, Egypt | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07466719