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In this study, a prospective, randomized, double-blind pilot trial designed to evaluate the effect of histamine H1 receptor antagonist clemastine on perioperative anaphylaxis in cardiovascular surgery with cardiopulmonary bypass, especially for the efficacy and safety on reducing heparin and protamine associated anaphylaxis.
In this study, a prospective, randomized, double-blind pilot trial designed to evaluate the effect of histamine H1 receptor antagonist clemastine on perioperative anaphylaxis in cardiovascular surgery with cardiopulmonary bypass, especially for the efficacy and safety on reducing heparin and protamine associated anaphylaxis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Saline solution 2ml before anesthetic induction |
|
| Clemastine | Experimental | Clemastine fumarate 2mg/2ml before anesthetic induction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clemastine | Drug | Clemastine fumarate 2mg/2ml intramuscular injection is administrated into the gluteus maximus muscle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Histamine concentration in plasma | Plasma histamine concentration evaluated by ELISA | Perioperative period |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Invasive blood pressure of radial artery: systolic, diastolic and mean pressure | Perioperative period |
| Airway pressure | Airway pressure: peak and plat |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jia Shi, M.D. | Cardiovascular Institute and Fuwai Hospital, CAMS&PUMC | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiovascular Institute and Fuwai Hospital, CAMS&PUMC | Beijing | Beijing Municipality | 100037 | China |
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| ID | Term |
|---|---|
| D000707 | Anaphylaxis |
| ID | Term |
|---|---|
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D002974 | Clemastine |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D011759 | Pyrrolidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D000077324 | Crystalloid Solutions |
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| Saline Solution | Drug | Saline solution 2ml intramuscular injection is administrated into the gluteus maximus muscle |
|
| Perioperative period |
| Skin manifestation | Rate of skin manifestations, including wheal, papules, maculopapules, etc | Perioperative period |
| Arrhythmia | Rate of perioperative arrhythmia, especially tachycardia | Perioperative period |
| Specific symptoms | Rate of specific symptoms, including fatigue, sleepiness, dizziness, headache, stomach pain, constipation, nausea, dry mouth | Perioperative period |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |