Cardiothoracic & vascular anesthesia

Cytokine Hemoadsorption versus Standard Care in Cardiac Surgery Using the Oxiris Membrane: The OXICARD Single-center Randomized Trial

AnesthesiologyPublished Randomised controlled trial

Primary result · Oxiris minus standardResult — go to the resultDifference −0.17 95% CI −0.44 to 0.10

Authors' conclusion

In patients scheduled for a cardiac surgery with prolonged CPB, the authors could not demonstrate the benefit on microcirculation and major cardiovascular events.

Study context

Population
Adults admitted for scheduled cardiac surgery with expected cardiopulmonary bypass (CPB) time >90 min2 excluded from Oxiris group
Participants
70 adults
Comparison
Oxiris membrane hemoadsorption during CPB vs standard care
Primary endpoint
Sublingual microcirculation by microvascular flow index (graded 0 to 3; 0 no flow, 3 continuous flow), change from baseline
Follow-up
Day 1 after surgery
Methodological detailssingle-centre, October 2019 to November 2022, Amiens University Hospital (France)
  • Single-centre
  • October 2019 to November 2022, Amiens University Hospital (France)

Primary result

Oxiris minus standard

Difference

−0.17

95% CI −0.44 to 0.10

P = 0.2

Oxiris vs Standard
difference −0.17 (95% CI −0.44 to 0.10); P = 0.2

As reported in the abstract

Secondary outcomes

Composite adverse outcome · within 30 days after surgery

P = 0.7

Cytokines and angiopoietins

Overall variation did not significantly differ between groups

Original publication

Cytokine Hemoadsorption versus Standard Care in Cardiac Surgery Using the Oxiris Membrane: The OXICARD Single-center Randomized Trial. Anesthesiology. Published 21 January 2025. doi:10.1097/aln.0000000000005376

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