Cardiothoracic & vascular anesthesia

Intraoperative Versus Postoperative Hydroxocobalamin for Vasoplegic Shock in Cardiothoracic Surgery

J Cardiothorac Vasc AnesthPublished Historic cohort study

Main findingResult — go to the resultEstimated difference 0.48 95% CI −1.76-2.72

Authors' conclusion

A difference in vasopressor-free days after CPB was not found between patients who received hydroxocobalamin intraoperatively versus postoperatively for vasoplegic shock.

Study context

Population
Adults with vasoplegic shock undergoing cardiac surgery with cardiopulmonary bypass (CPB), quaternary academic cardiovascular surgery program
Participants
112 adults
Exposure
Intraoperative vs postoperative hydroxocobalamin
  • ORn = 37
  • ICUn = 75reference
Outcome
Vasopressor-free days
Follow-up
First 14 days after CPB
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Estimated difference

0.48

95% CI −1.76-2.72

P = 0.67

OR vs ICU
estimated difference 0.48 (95% CI −1.76-2.72); P = 0.67

Observational data: associations, not effects.

Further findings

Postoperative renal failure, mesenteric ischemia, ICU and hospital LOS, in-hospital mortality

Similar between groups

Original publication

Intraoperative Versus Postoperative Hydroxocobalamin for Vasoplegic Shock in Cardiothoracic Surgery. J Cardiothorac Vasc Anesth. Published 25 August 2023. doi:10.1053/j.jvca.2023.08.145

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