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To inversitage whether routine warming of blood is harmful to brain fuction of sugical patients receiving massive transfusion.
Hypothermia is an effective therapeutic intervention to reduce hypoxic ischemia brain injury in animal experiments and in clinics.In a recent study, it has been shown that perioperative warming was associated with a higher incidence of cognitive dysfunction in elderly patients.Therefore, we hypothesised that perioperative heating transfusion have a side effect on brain function of surgical patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Brain fuction during perioperative period | Brain function includes cerebral blood flow and cerebral oxygen saturation | Change from baseline at post-transfusion 15min, 30min, 1hour, 2hour, 3 hour, 6hour, 12hour, 24hour |
| Measure | Description | Time Frame |
|---|---|---|
| the cognitive performance and the score of postoperative quality recovery scales ( PQRS) | Chang from baseline at 15min,40min,1day,3day and 7day postoperative lay |
| Measure | Description | Time Frame |
|---|---|---|
| serum concentration of inflammatory cytokine | change from baseline at 3hour, 6hour, 12hour, 24hour after transfusion |
Inclusion Criteria:
Exclusion Criteria:•Patients with a history of stroke, central nervous system disease , metabolic disturbance, psychiatric illness, hearing impairment, drug abuse or unwilling to participate in assessment
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adult paitents scheduled for major surgery.
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| Name | Affiliation | Role |
|---|---|---|
| Xinli Ni | Ningxia Medical University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital of Ningxia Medical University | Yinchuan | Ningxia | 750004 | China | ||
| Ningxia Medical University |
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Serum
| Yinchuan |
| Ningxia |
| 750004 |
| China |