Cardiothoracic & vascular anesthesia

A Multimodal Cardioprotection Strategy During Cardiac Surgery: The ProCCard Study

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

This multimodal cardioprotection has not demonstrated any biological or clinical benefit during cardiac surgery.

Study context

Population
Patients scheduled for aortic valve surgery, multicentre tertiary care hospitals
Participants
210 patients
Comparison
Multimodal cardioprotection vs standard of care
Primary endpoint
Postoperative AUC for high-sensitivity cardiac troponin I (hsTnI)
Follow-up
72 h
Methodological detailsprospective, multicentre
  • Prospective
  • Multicentre

Primary result

As reported in the abstract

72-h AUC for hsTnI vs aortic clamping time
Linear relationship between 72-h AUC for hsTnI and aortic clamping time significant in both groups
p < 0.0001
Relationship not modified by treatment
p = 0.57

Secondary outcomes

72-h AUC for hsTnI when sevoflurane given during CPB (46% of Treated)

Non-significant reduction
−24%
P
P = 0.15

Postoperative renal failure

Incidence not reduced
P = 0.104

Safety

Adverse events · 30 days

Rate identical in the two groups

Original publication

A Multimodal Cardioprotection Strategy During Cardiac Surgery: The ProCCard Study. J Cardiothorac Vasc Anesth. Published 14 April 2023. doi:10.1053/j.jvca.2023.04.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

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