Study of a Blood Warming Device to Prevent Low Body Temperature During Blood Transfusions in Very Preterm Infants Born Before 32 Weeks
Led by University of South Carolina · Updated on 2024-12-11
140
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying very preterm infants born before 32 weeks gestational age who often experience hypothermia and anemia during their stay in the neonatal intensive care unit. This trial evaluates the use of a commercial blood warming device to prevent low body temperatures below 36.56C during packed red blood cell PRBC transfusions, which are commonly needed to treat anemia in these infants. The study aims to reduce hypothermia-related complications by improving transfusion practices.
The trial compares two groups one receives standard care with PRBC transfusions given without deliberate warming, and the other group receives transfusions warmed using the Ranger blood warmer device. The device uses aluminum heating plates to quickly and evenly warm blood to near body temperature, following blood bank guidelines. Transfusions last about 4 hours, and all details including timing are recorded by nurses.
Participants will be closely monitored for body temperature during and after the transfusion, especially focusing on the occurrence of hypothermia within 12 hours and 1 hour after transfusion ends. Temperature data are collected for 24 hours after transfusion to ensure accuracy. The study measures how well the warming device maintains normal body temperature to improve care for very preterm infants at risk of hypothermia during blood transfusions.
CONDITIONS
Brief Title
Blood Warming in Preterm Infants to Decrease Hypothermia
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Ranger blood warmer device
Standard care (no blood warming device)
What it is
A blood warming device (Ranger blood warmer, 3M Healthcare) used inline during packed red blood cell transfusion in preterm infants to warm the blood as it is administered.
Standard blood transfusion practice in this NICU population, which does not use a dedicated inline blood warming device during transfusion.
Role in the trial
Investigational intervention arm: infants receive blood transfusion through the Ranger blood warmer device.
Comparator arm: infants receive standard blood transfusion care with no additional warming device.
Primary use
To evaluate whether inline blood warming reduces the risk of hypothermia after packed red blood cell transfusion in very preterm infants.
Represents the usual practice to understand how often hypothermia occurs after standard transfusion procedure in preterm infants.
How it is given or performed
Blood is transfused through the Ranger blood warmer device to achieve temperature-controlled delivery during the transfusion session.
Blood is administered using the standard procedure without any additional warming device.
Evidence status
Evidence for outcomes with this device comes from ongoing clinical investigation; no published patient outcome results are available as of the trial protocol publication.
Clinical outcomes for standard transfusion care in preterm infants are being measured for comparison in this ongoing trial; no additional published outcome data are provided.
Important limitations
Results to determine whether the blood warming device decreases hypothermia in this population are not yet available; safety and efficacy have not been established for this specific NICU use.
Direct comparison data regarding risk of hypothermia or other complications during blood transfusion without warming remain limited and pending completion of this trial.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 24Weeks - 32Weeks
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Infant born at PRISMA Health Richland hospital
Less than 32 weeks gestational age by obstetrical dating
Admitted to neonatal intensive care unit
Receiving one packed red blood cell transfusion within the first month of life
You will not qualify if you...
Infants with neurological anatomical abnormalities
Infants with major brain hemorrhage (Grade III or IV)
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 4 hours
Participants receive a packed red blood cell transfusion either with standard care or using the Ranger blood warming device to prevent hypothermia.
1 transfusion visit (in-person)
Follow-up
Duration - 24 hours
Participants are monitored for 24 hours after the transfusion to verify temperature data and check for hypothermia.
Monitoring during and after transfusion without additional visits
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Evaluating a blood warming device for packed red blood cell transfusions to decrease hypothermia in very preterm infants: A randomised control trial protocol.
Kayla C Everhart, Michael D Wirth, Victor N Iskersky...