CClinicalTrials.gg
Status unknownNCT01686659NACHOUpdated Apr 23, 2018

Noninvasive and Continuous Hemoglobin Monitoring for Surgical Blood Management

An interventional study of Continuous Noninvasive Hemoglobin Monitoring in Surgery, sponsored by Society for the Advancement of Blood Management, Inc. Status unknown at 8 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-04-23.

Sponsored by Society for the Advancement of Blood Management, Inc · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Apr 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
470
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a multi-center cluster-randomized trial with the following Specific Aims:

  • To evaluate if continuous noninvasive hemoglobin monitoring will reduce the RBC transfusions in patients undergoing surgeries associated with a significant risk of bleeding.
  • To evaluate if patients monitored with continuous noninvasive hemoglobin experience less frequent complications and shorter hospital stay compared with patients who are not being monitored with continuous noninvasive hemoglobin.

Accordingly, the study hypotheses are defined as follows:

  • The primary null hypothesis is that continuous noninvasive hemoglobin monitoring will not reduce the RBC transfusions in patients undergoing surgeries associated with a significant risk of bleeding.
  • The secondary hypothesis is that in patients monitored with continuous noninvasive hemoglobin, there will be earlier warning of critical drops in hemoglobin, and thus, there will be less frequent complications compared with patients who are not being monitored with continuous noninvasive hemoglobin.
Read the detailed description

This is a matched-pair cluster-randomized controlled trial. At each participating centers, consenting eligible Anesthesiologists will be grouped into matched pairs based on their practice characteristics and experience (namely, their main surgical service/procedures and their years of experience working as a clinician responsible for making transfusion decisions). From each pair, Anesthesiologists will be randomly allocated to either treat their patients while having access to data from a continuous noninvasive hemoglobin monitoring device (total hemoglobin [SpHb] and Pleth Variability Index [PVI]) (SpHb group) or without access to SpHb/PVI data, under standard of care (control group). Regardless of randomization, all patients will be monitored with the device but the data will be blinded and not be available to the Anesthesiologist to be used in the management of the control group. Only in the SpHb group, the SpHb/PVI data will be provided live to the Anesthesiologist, to be used during management of the patients.

02

Conditions studied

  • Surgery

Keywords

  • Transfusion
  • Continuous Hemoglobin Monitoring
  • SpHb
03

In context

Lead sponsor

This is the only study on the registry with Society for the Advancement of Blood Management, Inc as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients undergoing one of the listed major surgeries associated with possibility of significant blood loss
  • Consenting patients who are primarily managed by the consenting Anesthesiologists participating in the study (Not applicable at participating centers which have obtained a waiver of informed consent for the patients from their respective IRB)
  • At least one finger available and accessible for performing non-invasive hemoglobin monitoring (preoperative perfusion index greater than 0.5)

Exclusion criteria

Exclusion Criteria:

  • Any patients who do not fit the criteria for use of sensor, specifically, any patient with nail polish and/or a nail deformity, or obstructed physical access (e.g. due to bandage) to all fingers that would be used for sensor placement, in a manner that interferes with satisfactory sensor placement
  • Any patients being monitored with motor evoked potential devices
  • Any patients with a known hemoglobinopathy
  • Any patients undergoing Cardio-Pulmonary Bypass (CPB)
  • Any patients who cannot be transfused or has refused consent for a blood transfusion
  • Patients who are moribund/salvage cases as determined by the participating Anesthesiologist in charge of management of the patient in the operating room
  • Patients being treated by any artificial oxygen carriers within 30 days of hospital stay
  • Patients who are actively enrolled in or within 30 days of completion of any other study (except for purely observational studies with no intervention)
  • Patients being managed outside of an operating room in the participating centers, or in operating room with conditions not conducive to perform and complete the study procedures (including use of the hemoglobin monitoring device)
  • Patients younger than 18 years old
  • Patients who are pregnant
  • Any patients expected to receive transfusion preoperatively
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
470 participants (estimated)

Study arms

  • Experimental
    SpHb Arm

    These are the patients whose primary anesthesiologists have been allocated to treat them while having access to data from a continuous noninvasive hemoglobin monitoring device

    Device: Continuous Noninvasive Hemoglobin Monitoring

  • No intervention
    Control Arm

    These are the patients whose primary anesthesiologists have been allocated to treat them without having access to data from a continuous noninvasive hemoglobin monitoring device

Interventions

  • DeviceContinuous Noninvasive Hemoglobin Monitoring

    Availability of data from a continuous noninvasive hemoglobin monitoring device (total hemoglobin \[SpHb\] and Pleth Variability Index \[PVI\]) to the clinicians in the operating room

    Also known as: SpHb, Radical-7, Radical 7 Pulse CO-Oximeter

06

What researchers measure

Primary outcomes

  1. Amount of Intraoperative RBC Transfusion

    Number of allogeneic RBC units transfused intraoperatively per patient

    Time frame: From the first surgical incision to the wound closure

Secondary outcomes

  1. Intraoperative RBC Transfusion Rate

    Occurrence of any allogeneic RBC transfusions intraoperatively

    Time frame: From the first surgical incision to the wound closure

  2. Amount of Perioperative RBC Transfusion

    Total number of allogeneic RBC units transfused perioperatively during hospital stay

    Time frame: From time of admission to the hospital to the time of discharge or death whichever sooner (an estimated average of 6 days)

  3. Ischemic Events

    Incidence of new (or worsening of pre-existing) ischemic events

    Time frame: From time of surgery to the time of discharge or death whichever sooner (an estimated average of 5 days)

  4. Mortality

    Any death occuring during surgery or within 30-day period following the surgery

    Time frame: From time of surgery to 30 days after the surgery

  5. Length of Stay

    Length of post-surgery hospital stay

    Time frame: From time of surgery to time of discharge from hospital (an estimated average of 5 days)

07

Study locations

2 of 8 sites recruiting
  • Stanford University
    Stanford, California 94305, United States
    • Pedro P Tanaka, MD, PhD · Contact
    • Pedro P Tanaka, MD, PhD · Principal investigator
    Recruiting
  • Montefiore Medical Center
    Bronx, New York 10467, United States
    Completed
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
    Completed
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
    • Sergio Bergese, MD · Contact
    Recruiting
  • Swedish Medical Center
    Seattle, Washington 98122, United States
    Completed
  • CHU Angers
    Angers, France
    Completed
  • IRCCS Policlinico San Donato
    San Donato, MI, Italy
    Completed
  • Sapporo Medical University School of Medicine
    Chuo-ku Sapporo, Hokkaido 060-8543, Japan
    Completed
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 23, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01686659
Lead sponsor
Society for the Advancement of Blood Management, Inc
Responsible party
Sponsor
First posted
Sep 18, 2012
Start date
Sep 2012
Primary completion
Dec 2018 (estimated)
Completion
Jun 2019 (estimated)
Last update
Apr 23, 2018

Study contacts

Richard Melseth
Contact
rmelseth@sabm.org
602-343-7458
Mazyar Javidroozi, MD, PhD
Contact
mazyarjr@yahoo.com
201-894-3917
Aryeh Shander, MD
principal investigator · Englewood Hospital & Medical Center
Mazyar Javidroozi, MD, PhD
study director · Englewood Hospital & Medical Center
Aryeh Shander, MD
study chair · Englewood Hospital & Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion