Cardiothoracic & vascular anesthesia

Acute Normovolemic Hemodilution Versus Norepinephrine Infusion During Autologous Blood Donation in Coronary Artery Bypass Graft Surgery: A Prospective Randomized Study

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Norepinephrine infusion demonstrated hemodynamic equivalence to ANH in the setting of autologous blood donation during coronary artery bypass graft surgery.

Study context

Population
Patients undergoing CABG surgery with autologous blood donation
Participants
40 patients
Comparison
NA vs acute normovolemic hemodilution (ANH)
Primary endpoint
Comparison of cardiac cycle efficiency (CCE) changes between groups
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

Change in CCE

ANH

0.20

± 0.51

NA

0.5

± 0.57

P = 0.373

Secondary outcomes

Cardiac index, stroke volume index, metabolic markers

No relevant differences between groups
P > 0.05

Dynamic preload parameters

Expected physiological patterns in NA group, consistent with volume-sparing circulatory support

ICU and hospital LOS

No difference between groups

Safety

No patients experienced AKI

Original publication

Acute Normovolemic Hemodilution Versus Norepinephrine Infusion During Autologous Blood Donation in Coronary Artery Bypass Graft Surgery: A Prospective Randomized Study. J Cardiothorac Vasc Anesth. Published 28 June 2025. doi:10.1053/j.jvca.2025.06.053

Composed by AI from the published abstract and checked against it. How Briefs are made →

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