About this trial
The goal of this proposal is to prospectively collect data from a series of 200 patients (all ages) undergoing complex cardiac surgical procedures involving cardiopulmonary bypass (CPB) to:
1. Measure the number of blood activated circulating monocytes before, during and after cardiac surgery and serum GABA and pro-inflammatory cytokine levels 2. Understand the correlation between GABA and inflammatory cytokines (and/or activated monocytes) and 3. Assess the correlation between thrombosis and monocyte activation in patients undergoing cardiac surgery under CPB and at risk of thrombosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients (all ages) undergoing complex cardiac surgical procedures with CPB.
Disqualifiers
undergoing an emergent procedure and do not have more than 1 hour ahead of time to review the consent
patient in a moribund condition American Society of Anesthesiology (ASA 5) -patient with a hematological and/or oncological disease
Jehovah witnesses.
Trial population
Patients (all ages) undergoing complex cardiac surgical procedures with cardiopulmonary bypass (CPB) at Boston Children's Hospital.
Trial design
Cohort
Prospective
Treatments tested in this trial
Discarded blood samples
Other interventionWill utilize the discarded blood from routine clinical blood samples to evaluate the role of immune cells in coagulopathy.
Treatment groups
Trial outcomes
Primary outcomes
Monocyte activation status
characterization of monocyte activation status at baseline before surgery and throughout the course of CPB including post-operatively.
Serum GABA and pro-inflammatory cytokines
Serum GABA and pro-inflammatory cytokines
Secondary outcomes
Clinical Thrombosis
Presence of clinical thrombosis
Sponsors and contacts
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