Cardiothoracic & vascular anesthesia

Intraoperative Oxygenation and Microcirculatory Changes Following Off-pump Coronary Artery Bypass Grafting: An Exploratory Secondary Analysis of a Randomized Clinical Trial

J Cardiothorac Vasc AnesthPublished Exploratory secondary analysis of a multicentre cluster-randomised trial

Authors' conclusion

Patients receiving 80% oxygen during OPCAB had significantly better postoperative microcirculatory profiles than those receiving 30% oxygen.

Study context

Population
Adults undergoing off-pump coronary artery bypass grafting (OPCAB), 3 teaching hospitalssublingual microscopy 52 vs 51
Comparison
80% vs 30% intraoperative oxygen
Methodological detailsgeneralized estimating equations
  • Generalized estimating equations

Primary result

As reported in the abstract

Microcirculatory parameters
  • All microcirculatory parameters similar between groups

Further findings

De Backer score, all vessels · end of surgery

P = 0.011

De Backer score, small vessels · end of surgery

P = 0.024

Recovery score

P = 0.001

Outcome30% oxygen80% oxygenP value
Thenar muscle tissue oxygenation immediately before vascular occlusion74.0% (SD 9.3)78.4% (SD 10.5)P = 0.031

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Intraoperative Oxygenation and Microcirculatory Changes Following Off-pump Coronary Artery Bypass Grafting: An Exploratory Secondary Analysis of a Randomized Clinical Trial. J Cardiothorac Vasc Anesth. Published 6 February 2025. doi:10.1053/j.jvca.2025.01.045

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