Hemodynamics, fluids & transfusion

Argipressin for prevention of blood loss in hepatic resection: a randomised, placebo-controlled, double-blind trial

Br J AnaesthPublished Randomised controlled trial

Primary result · Blood loss during surgeryResult — go to the resultAdjusted relative risk 0.90 95% CI 0.70–1.17

Authors' conclusion

Perioperative treatment with argipressin did not reduce blood loss or transfusion requirements in hepatic resection.

Study context

Population
Adults undergoing hepatic resection, Sahlgrenska University Hospital, Swedenprimary analysis
Participants
245 adults
Comparison
Argipressin infusion vs placebo during surgery
  • Argipressinn = 119
  • Placebon = 126reference
Primary endpoint
Blood loss (ml) during surgery
Methodological detailssingle-centre, placebo-controlled, double-blind
  • Single-centre
  • Placebo-controlled
  • Double-blind

Primary result

Blood loss during surgery

Adjusted relative risk

0.90

95% CI 0.70–1.17

P = 0.44

By group

Argipressin vs Placebo
adjusted RR 0.90 (95% CI 0.70–1.17); P = 0.44

As reported in the abstract

Secondary outcomes

OutcomeArgipressinPlaceboaOR (95% CI)P value
RBC transfusion36.8%41.3%0.84 (0.48–1.49)P = 0.56

Safety

OutcomeArgipressinPlaceboaOR (95% CI)P value
Postoperative complications · POD 3038.8%58.1%0.43 (0.25–0.74)P = 0.0025

Original publication

Argipressin for prevention of blood loss in hepatic resection: a randomised, placebo-controlled, double-blind trial. Br J Anaesth. Published 30 October 2025. doi:10.1016/j.bja.2025.09.021

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