[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"post-operative-hemorrhage\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:post-operative-hemorrhage":76},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,41],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":22,"studyType":23,"phases":4,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100589340","ultrasound-for-assessment-of-intra-abdominal-blood-loss-after-gynecological-surgery-100589340",false,"NCT06953141","Ultrasound for Assessment of Intra-Abdominal Blood Loss After Gynecological Surgery","Ultrasound Use to Estimate the Amount of Intra-abdominal Blood Following Gynecological Surgeries and the Association With Postoperative Outcomes. A Prospective Cohort Study","Inclusion Criteria:\n\n* Women aged 18 years and older\n* Undergoing gynecological surgery including laparotomy, laparoscopy, and vaginal pelvic surgery\n* Able to provide informed consent\n\nExclusion Criteria:\n\n* Undergoing minor procedures (e.g., dilation and curettage, hysteroscopy, or cervical conization)\n* Known preoperative coagulation disorders\n* Postoperative admission to the intensive care unit (ICU)\n* Clinical indication requiring ultrasound as part of standard postoperative care","FEMALE","18 Years","70 Years",{"count":20,"type":21},250,"ESTIMATED","4 Days","OBSERVATIONAL","This is a prospective cohort study designed to assess intra-abdominal blood volume and hemodynamic status by measuring the diameter of the inferior vena cava (IVC) using 3D and Doppler ultrasound within 24 hours after gynecological surgery. The study will examine the association between these ultrasound findings and postoperative outcomes, including hemoglobin drop, need for blood transfusion, pain, infection, and length of hospitalization. Approximately 250 women undergoing laparotomy, laparoscopy, or vaginal surgery at Holy Family Hospital will be enrolled. The study also aimed to define postoperative normograms for fluid volume and IVC parameters and to evaluate whether ultrasound-guided decision-making could improve postoperative care and reduce unnecessary interventions.",[26,27],"Post-Operative Hematoma at Operative Site (Diagnosis)","Post-Operative Hemorrhage","RECRUITING","2026-04-07",{"date":31,"type":32},"2026-04-13","ACTUAL",{"date":34,"type":32},"2025-05-08",{"date":36,"type":21},"2026-12-15",{"name":38,"class":39},"Holy Family Hospital, Nazareth, Israel","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":4,"eligibilityCriteria":47,"healthyVolunteers":48,"sex":49,"minAge":4,"maxAge":50,"enrollmentInfo":51,"targetDuration":4,"studyType":53,"phases":54,"briefSummary":56,"conditions":57,"keywords":61,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":4},"100468419","teg-use-in-children-undergoing-procedures-with-high-anticipated-blood-loss-100468419","NCT05379530","TEG Use in Children Undergoing Procedures With High Anticipated Blood Loss","Thromboelastography (TEG) and Intraoperative Coagulation Management of Pediatric Patients Undergoing Procedures With High Anticipated Blood Loss","Inclusion Criteria:\n\n* Pediatric patients undergoing non-cardiac surgery at BCH with a high likelihood of blood transfusion. Specifically these are defined as a surgery with greater than 25% likelihood of transfusion of any non-albumin blood product.\n* Eligible surgeries include:\n* spinal surgery\n* laparotomy\n* liver transplant\n* craniofacial surgery\n* esophageal atresia\n* craniotomy\u002Fhemispherectomy\n* major abdominal surgery\n* major hip surgery\n* major plastic surgery\n\nExclusion Criteria:\n\n* Patients undergoing cardiac surgery or ECMO cannulation, as these surgeries are generally considered outside the scope of general pediatric surgery.\n* Patients presenting for emergent surgery\n* Patients undergoing surgeries off hours (between 8pm and 8 am), when TEG analysis is unobtainable",true,"ALL","20 Years",{"count":52,"type":21},60,"INTERVENTIONAL",[55],"NA","The research team proposes a prospective, observational study to better understand how TEG can be useful in guiding clinical practice in the Main OR for subject's undergoing high transfusion risk surgeries.\n\nIntraoperatively, transfusion of blood products is frequently required to restore oxygen carrying capacity, perfusion and improve coagulation. Both under and over transfusion pose significant risks, particularly to pediatric patients with small starting intravascular volumes. Thromboelastography (TEG) is a validated method of dynamically assessing intraoperative coagulopathy via functional assay. However, while FDA approved and widely used in the adult setting, TEG is not commonly utilized in the setting of bleeding pediatric patients.\n\nRecently, TEG has been made available at BCH for clinical purposes and is being used solely in the cardiac surgery setting. The investigators aim to provide TEG data for non-cardiac pediatric surgical cases with a high risk of intraoperative blood loss in order to assess the impact of this tool on intraoperative management.",[58,59,60],"Surgical Blood Loss","Surgical Hemorrhage","Post Operative Hemorrhage",[62,63,64,65],"thromboelastography","blood transfusion","viscoelastic test-guided","massive hemorrhage","NOT_YET_RECRUITING","2024-08-19",{"date":69,"type":32},"2024-08-20",{"date":71,"type":21},"2025-01-01",{"date":73,"type":21},"2025-12-01",{"name":75,"class":39},"Boston Children's Hospital","Post-operative Hemorrhage"]