Cardiothoracic & vascular anesthesia

Cardiovascular Outcomes of Perioperative Sodium‐Glucose Transporter 2 Inhibition in Cardiac Surgery Patients: An Open‐Label Randomized Pilot Study

Acta Anaesthesiol ScandPublished Randomised controlled trial

Primary result · Postoperative diuresisResult — go to the resultMean difference 549 mL 95% CI 258–839

Authors' conclusion

Perioperative SGLT2 inhibition was associated with increased diuresis and lesser fluid accumulation without an increase in vasopressor requirement.

Study context

Population
Adults undergoing cardiac surgeryITT analysis
Participants
55 adults
Comparison
Perioperative empagliflozin vs standard of care
  • Empagliflozinn = 25
  • Controln = 30reference
Methodological detailsopen-label, pilot
  • Open-label
  • Pilot

Primary result

Postoperative diuresis · first 24 postoperative hours

Mean difference

549 mL

95% CI 258–839

P < 0.001

Empagliflozin vs Control
mean difference 549 mL (95% CI 258–839); P < 0.001

As reported in the abstract

Further findings

OutcomeMean difference (mL) (95% CI)P value
Fluid balance · first 24 postoperative hours−1217 (−2373- −61)P = 0.039

Norepinephrine infusion duration

P = 0.080

IV fluid administered

Empagliflozin did not increase the amount of IV fluid administered

Postoperative BP and heart rate

No significant between-group differences

Original publication

Cardiovascular Outcomes of Perioperative Sodium‐Glucose Transporter 2 Inhibition in Cardiac Surgery Patients: An Open‐Label Randomized Pilot Study. Acta Anaesthesiol Scand. Published 22 June 2025. doi:10.1111/aas.70075

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